Rooted In Christ

Rooted In Christ

2026 CID Jr. High Youth Event
Leader Name

First NameLast Name
Leader Email
example@example.com
Leader Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Congregation
Number of Youth Attending
Number of Adult Volunteers Attending
Number of Lunches Needed
Dietary Restrictions and For How Many

T-Shirt Quantity

Rows	Youth Attending	Adult Volunteers	Total
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
Adult XXXL

Number of T-Shirts Ordered
Auto Totaled from Above
Payment Method
Payment Required
Checks should be made to: Central IL District LCMS

Checks should be mailed to:

Central IL District LCMS

Attn: Trip Rodgers

1850 N Grand Ave W

Springfield, IL 62702

Registration and Shirts

Youth Registration

$40.00 Quantity
Item subtotal:

Total

Debit or Credit Card
Credit Card Number	Security Code
Expiration Month	Expiration Year

Should be Empty: