2025 Impact Youth Freedom Rally and Lock-In

2025 Teen Extreme Lock-In

Friday, Nov 14, 2024 7 PM - Saturday, Nov 15, 2025 1:00 AM Freedom Rally @ Joshua Campaign International Worship Center, Fresno - Lock-In @ No Surrender, Fresno
🔥 Freedom Rally & Lock-In! 🔥
Friday, November 14th
Fresno, CA

Join us for an unforgettable night of worship, fun, and connection!

📍 Youth Rally
Location: Joshua Campaign International Worship Center, Fresno

Check-in: 6:00 p.m.
Rally starts: 7:00 p.m.
After an incredible night of worship and inspiration, we’ll head to No Surrender (Fresno) for our all-night Lock-In! (10pm-1am)

🎉 Lock-In Highlights:

Free Pizza & Soda
Unlimited FREE play on select arcade games
Laser Tag
Adventure & Ropes Courses
Trampolines
And more fun surprises!
This is a district-wide event, so it’s a great opportunity to connect with youth from other churches across our district!

🚐 Transportation:

Meet at Life Place Church at 4:30 p.m.
Depart at 4:45 p.m. SHARP
Return around 2:00 a.m. Saturday morning
(Students will contact rides upon departure from No Surrender.)
💬 Questions or Want to Chaperone?
Contact Pastor Melissa Yonan at 📞 (408) 242-0316
(Chaperones may be asked to drive their vehicles.)

💰 Cost: FREE!
Sponsored by IGNITE Youth
Students can bring spending money for extra snacks or souvenirs.

We can’t wait to see what God does at this amazing event. Get ready for an incredible encounter with Him — and a night you won’t forget! 🙌
Registration Type*

StudentChaperone
Student Name*
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Date
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Secondary Emergency contact Name*
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Secondary Emergency Contact Relationship*
Does Student have Medical Insurance?*

YesNo
Medical Waiver
Medical Waiver
I HEREBY AUTHORIZE THE CENTRAL CAL YOUTH MIN. AND/OR ITS REPRESENTATIVE, AS AGENT FOR MYSELF TO PROCURE MEDICAL, HOSPITAL OR DENTAL CARE FOR MY CHILD NAMED ON THIS FORM, IN THE EVENT OF INJURY OR ILLNESS WHILE THE CHILD IS IN THE CARE OF THE ABOVE NAMED. I UNDERSTAND THAT I AM FINANCIALLY RESPONSIBLE FOR ANY CARE PROCURED. IT IS UNDERSTOOD THAT THIS AUTHORIZATION IS GIVEN IN ADVANCE OF ANY SPECIFIC DIAGNOSIS, TREATMENT, OR HOSPITAL CARE BEING REQUIRED. BUT IS GIVEN TO PROVED AUTHORITY ON THE PART OF MY AGENT TO CONSENT TO SUCH MEDICAL CARE, SHOULD IT BECOME NECESSARY. I ALSO AUTHORIZE DESIGNATED MEDICAL PROFESSIONALS TO DISPENSE OVER-THE-COUNTER MEDICATIONS AS NEEDED TO THE STUDENT LISTED ABOVE. I HEREBY IRREVOCABLY CONSENT TO AND AUTHORIZE THE UNRESTRICTED USE AND REPRODUCTION BY YOU OR ANYONE AUTHORIZED BY YOU, OF ANY AND ALL PHOTOGRAPHS AND/OR VIDEO IMAGES WHICH YOU HAVE TAKEN OF THE STUDENT LISTED ABOVE, FOR USE WITHIN THE SCOPE OF THE CENTRAL CALIFORNIA YOUTH MINISTRIES, PENTECOSTAL CHURCH OF GOD, INC.
Medical Waiver Acceptance*

Yes
Rules
Rules:
I agree to abide by all facility rules and regulations
I am aware that profanity will not be tolerated
I am aware that drug and alcohol use will not be tolerated
AND I am aware that if I fail to abide by all rules I will not be allowed to stay the remainder of the time of the event.

After having read, or have had read to me, I agree to abide by the rules and regulations of the event and to waive any and all claims against the District Organization, The Pentecostal Church of God, or any of its District Board or its representatives, because of any injury or other damage that may be incurred to me or my property in connection with, or incident to, the Pentecostal Church of God.
Rules Acceptance*

Yes
I certify that I have authority to give permission for the minor listed on this application. *

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2025 Teen Extreme Lock-In

Medical Waiver

Rules