Lock-In Registration Lock-In Registration Name Phone Number Do you get text messages on this number?YesNoE-mail Address Messaging Service Contact Info Name of a Responsible Adult (if under 18) Contact Info for Responsible AdultBy checking below and submitting this form, I agree to: Bring $10 with me to the event, or to call Pastor ahead of time to make other arrangements. Consent to Pics/Videos taken during the event to be used by CLC and Lutherdale. Consent to follow the Code of Conduct, Confidentiality Rules, Rules of Respectful discussions. They can be read here. Consent to the adults present consenting to emergency medical treatment, should I need it. To release Capron Lutheran Church, Lutherdale, and all staff and volunteers from those organizations from liability for the normal risks of a youth event. NameThis field is for validation purposes and should be left unchanged.