February Youth Lock-in at FUMC Westfield

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This form will serve as the permission form to be submitted by parent/guardian of any youth planning to attend the October Youth Lock-in scheduled for Saturday, February 18th through Sunday February 19th. The event will take place at FUMC Westfield, located at 1 E Broad Street, Westfield NJ. Lead coordinator and chaperone for the event will be Marcee Rogers (908-591-6680 cell). Additional chaperones who are background checked as per the church Safe Sanctuary Policy will also be present. That full list will be provided to families at drop off on 2/18.

Note: Youth can attend just for Saturday night or can sleep over in the church. Indicate the time parameters for your youth participant in the body of the form. The full event runs from 6:30pm on 2/18/2023 through 11:00am on 2/19/2023. Saturday dinner, snacks and Sunday breakfast will be provided. The cost for this event is covered through the youth ministry budget of FUMC Westfield. Any donations toward the event will go to support Family Promise of Union County in connection with the supplies drive mission hosted this month by the Social Justice team.

Name of Student Participant (first & last) *

Grade & School *

Cell phone of Student Participant

Parent to complete and check all that apply with regard to permission needed for this event. There is an option to sleep over or to be pick up by midnight (indicate one or the other - not both) *

I give permission for my child to attend the FUMC Westfield Youth Lock-in at the church

My child will be dropped off by me or an adult designated by me for the event between 6:30 - 7:30 PM

My child IS NOT sleeping overnight and will be picked up by Midnight

My child will be sleeping overnight and will be picked up Sunday following worship

Required

I have completed a Youth Program Registration Form & Medical Release *

Yes, I believe so

No, please email me one to complete

Maybe, can you check and let me know

Name of the parent completing this form. A copy of this form will be sent to you for your records upon submission. The copy kept by FUMC Westfield will serve as the signed permission slip for this event. *

Parent Phone Number (for general contact and emergency use during event) *

Submit

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