LOCK-IN 2018
We are SOOOO excited for the launch of our summer LOCK-IN!!
If your child is ready for this (and if YOU are ready for this), keep reading!!!

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 2018-2019 school year.

DATE: June 22-23, 2018
TIME: Fri 7pm to Sat 1pm
COST: $15
AGES: Grades 5-6-7
LOCATION: Lighthouse (2152 St Catherine St W, Montreal)

ATTENDEE INFO
First Name *
Your answer
Last Name *
Your answer
Age *
Grade *
Starting in Sept 2018
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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