Club 345 Registration
Grace Changes Everything!
"For by grace you have been saved through faith, and this is not your own doing; it is the gift of God — not the result of works, so that no one may boast. For we are what God has made us, created in Christ Jesus for good works, which God prepared beforehand to be our way of life."
— Ephesians 2:8-10

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 Emergency Medical Information & Permission form!***

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

December 2, 2017
Registration begins at 10am
Event ends at 3pm

Redeemer Lutheran Church, Columbia
525 St. Andrews Rd.
Columbia, SC 29210

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 *
Date of Birth *
Grade *
Name of Parent(s) / Guardian(s) *
If you're an adult registrant, please just put your own name.
Your answer
Home Congregation (Name, City) *
Example: Cedar Grove, Leesville
Your answer
Home Address — Street *
Your answer
Home Address — City, State *
Your answer
Home Address — Zip Code *
Your answer
Primary Phone — Adult *
Preferred number to reach an adult.
Your answer
Primary Phone — Youth
Preferred number to reach a youth registrant.
Your answer
Email — Adult *
Preferred email address to reach an adult.
Your answer
Email — Youth
Preferred email address to reach the youth registrant.
Your answer
Name of your congregation's youth contact *
Your answer
Youth Contact Email Address *
Your answer
T-Shirt Size *
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