Youth Event Registration

For the 3/5/24 trip to Escapology-

Please reserve your student’s spot on the Sign Up Genius here first!
Each student’s admission to the room is $22. Payments can be made here. Please select “Youth Event” in the drop down menu.
When I’ve received your registration from this form, I’ll email you the waiver from Escapology to be completed in advance of the trip.

Event

Please choose the applicable event

I am registering:

my student

myself (as an adult participant)

Participant Name

First Name

Last Name

Participant Phone

(###)

###

####

Participant Email

Parent Name (Emergency Contact #1)

First Name

Last Name

Parent (Emergency Contact #1) Phone

(###)

###

####

Emergency Contact #2

First Name

Last Name

Emergency Contact #2 Phone

(###)

###

####

Student Allergies/Dietary Restrictions

Student Medication List

Overnight events only. Please include all medication times and dosages. If this is a day time event, write N/A.

Medication Help

Overnight events only

Student can take medications independently

Student needs reminder to take medications on time

Release

I accept unto myself all responsibility and liability for any injury, death, or other loss or damage that occurs to my child as a result of their participation in Lutheran Church of the Abiding Presence youth activities. I will indemnify and hold harmless Lutheran Church of the Abiding Presence, its agents, affiliates, and successors from all claims, judgments, and costs, including attorney’s fees, incurred in connection with any action that may be brought as a result of my child’s participation youth activities. In the event that my child does not abide by the below 10 Commandment for Lutheran Church of the Abiding Presence Youth Ministry, I understand that I will be responsible for providing supervised transportation home from for them from the youth activity.

I agree

10 Commandments of Youth Ministry at Lutheran Church of the Abiding Presence

I am the Lord your God, you shall have no other gods before me.

Enough said!

Do not take the name of the Lord your God in vain.

Foul language, curse words, etc. have no place in our youth ministry activities.

Remember the Sabbath day and keep it holy.

We will remember to rest when appropriate and work when appropriate. When the opportunity arises, we will worship together and remember that we are representing Abiding Presence when we worship at other congregations.

Honor your father and mother.

Remember this covers all in authority, especially the pastor, event staff, and adult youth leaders!

Thou shall not kill

No guns, weapons, knives, etc. will be permitted. Further, no negative comments or insults about activities or people.

Thou shall not commit adultery.

All participants will act appropriately and respectfully towards one another at all times. Separate sleeping areas and personal boundaries will be respected.

Thou shall not steal.

Keep your hands to yourself and your own stuff.

Thou shall not bear false witness against your neighbor.

No gossiping or speaking negatively about people.

You shall not covet your neighbor’s house.

We will treat everywhere we visit with the utmost respect remembering that we are guests.

You shall not covet your neighbor’s wife, or his manservant, or his maidservant, or his cattle or anything that is your neighbor’s.

Ok, so hopefully we won’t have too much trouble with the cattle thing!

I promise to abide by the above 10 Commandments for Lutheran Church of the Abiding Presence Youth Ministry. While I understand that there is grace and forgiveness for my sins, I will take full responsibility for my actions.