LOCK-IN Registration 2017
We are SOOOO excited for the launch of our summer CAMP-OUT LOCK-IN!!
If your child is ready for this (and if YOU are ready for this), continue below!!!

Please complete one form per attendee. A confirmation email will be sent to the email you provided with further details.
This event is for students going in to Grades 5-7 in the 2017-2018 school year.

DATE: Aug 18-19, 2017 (DATE CHANGED FROM AUG 11-12)
TIME: Fri 7pm to Sat 1pm
COST: $15
AGES: Grades 5-6-7
LOCATION: Evangel Church (1235 RUE LAMBERT CLOSSE, MONTREAL)

ATTENDEE INFO
First Name
Your answer
Last Name
Your answer
Age
Grade
As of Sept 2017
Medical Information
Does the attendee have any allergies or medical conditions we should be aware of?
If yes, please explain:
Your answer
Home Address
Your answer
Home Phone Number
Your answer
PARENT/GUARDIAN INFO
Parent/Guardian First Name
Your answer
Parent/Guardian Last Name
Your answer
Email
Your answer
Cell Phone Number
To be used in case of emergency
Your answer
This event requires parental involvement!
Please indicate which of the following you will be able to help with
Required
REGISTRATION FEE & PAYMENT
This event costs $15 per child
Methods of payment
Payment can be made at Evangel's Get Connected desk on Sunday mornings.
Required
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