Crowned In Truth - A Deeper Pursuit of Christ

Crowned In Truth - A Deeper Pursuit of Christ

Lock-In event for grades 9 to 12. Please fill out the below information.
When: Friday, April 3rd - Check in at 8:00pm to Saturday, April 4th - Pick up at 9:00am

Where: Gregory Drive Alliance Church
Participant Full Name*

First NameLast Name
Participant Grade*
Participant Email (if applicable)
example@example.com
Parent/Guardian Full Name*

First NameLast Name
Parent/Guardian Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email Address
example@example.com
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
NoYes (please specify below)
If yes, please list allergies
NoYes (please specify below)
If yes, please list medications
Please list any other medical conditions or special needs
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