Request edit access
Luther Prep Ministry Trip

WHO: South Atlantic District youth who are considering attending Luther Preparatory School. If you’re even remotely considering attending Luther Prep, if you're interested in learning more about the training of our future pastors and teachers, and if you like to have some fun, this trip is for you!

WHEN: March 6th - 9th, 2025  |  Luther Preparatory School in Watertown, WI (details below)

HOW: Students receive $150 off the cost of their flight. An accompanying parent receives $100 off the cost of their flight. Lodging, vehicle travel, and meals are covered by LPS and South Atlantic District Youth Fund. Other travel stipends are available. (more details below)
Sign in to Google to save your progress. Learn more
First Name
Last Name
Address
Registering as 
Home Church
Please include the name, city, and state. 
Phone
Email
Gender
Clear selection
Grade level
Clear selection
Parent/Guardian Name (if registering as student above)
Parent/Guardian Phone (if different from the phone number above)
Health Insurance Information
In case of emergency, please provide: health insurance company, policy number, name on policy, any allergies or medical conditions the attendee may have. 
Permission to Treat in an Emergency *
In the event of an emergency, I understand that every effort will be made to contact me. I give permission for my child to be treated at the nearest hospital or medical facility at the discretion of the chaperones. I agree to pay any costs that are incurred and will not hold trip sponsors or chaperones liable for the cost of health care provided to my child. I am stating my consent by clicking, "yes." 
Required
Travel Details & Coordination
If traveling by air or driving AND you want to coordinate with others,  please include  the details below. 
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report