Club 345 Registration
God's Plan: A Break in Our Pattern
For surely I know the plans I have for you, says the Lord, plans for your welfare and not for harm, to give you a future with hope. — Jeremiah 29:11

Club 345 is a one day activity for 3rd, 4th, & 5th Graders!

Join your friends for a day of fun and faith, and meet some great new people from around South Carolina!

Please make sure you have at least one adult per each 6 youth.

We will also have an adult leaders of youth seminar during this time, so please make sure to send a leader to this and take this into account when getting adult volunteers!

***Please be certain to fill out the LCY Vital Information & Emergency Medical form!
(You only need to fill this out once per school year unless information changes)***

This is a link to this page for your friends:
Individual Registration –

March 30, 2019
Registration begins at 10am
Event ends at 3pm

Mt. Horeb Lutheran Church, Chapin
101 E Boundary St.
Columbia, SC 29036

For 3rd, 4th & 5th Graders, adults can come to our adult small group!
Please send 1 Adult per 5-6 youth, and remember that you can send leaders to our leaders of youth seminar.

$15 per registrant. This covers lunch, a t-shirt, and incidental costs. Because many congregations supplement this cost, we prefer that payment for the retreat be arranged through the congregation. If you're paying individually, please contact so Pastor Eric knows to be on the lookout for your check.

Unless indicated otherwise in the comments, completion of this registration grants photo release rights for social media, annual yearbook, slideshows, and other forms of printed and digital media.

Completion of this registration also grants permission for the registrant to receive emergency medical care. Please be certain to complete the Emergency Health Form, which is in a separate survey, so that we can have accurate information in the event of an emergency during which a parent or guardian cannot be contacted.

We can't wait to see you there!

Last Name *
Your answer
First Name *
Your answer
Gender *
Grade *
T-Shirt Size *
Name of Youth Leader *
Your answer
Email — Parent & Youth Leader
This information sends an email confirmation to the parent / guardian of our registrants and to the youth leader of the congregation to which the youth belongs. Type the emails separated by a comma (you can add other email addresses this way as well). They should look like this:,
Your answer
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