LFYC Registration | Lighthouse Ministries

Lighthouse Forge Youth Conference

Fill out this form to secure you spot if you plan to stay on campus. Conference dates are August 7th-9th 2024. If you have any questions, feel free to contact Lighthouse at 855-776-3123. Thank You!

Church Organization*
Church Phone Number*
Pastor's Name*
Student Name*
Student Age*
Please enter a number from 12 to 19.
Gender*
Parent/Guardian*
Phone Number*
Counselor*

If you don't have a counselor, please let us know in the box. We will provide a counselor for you. (The age range to be a counselor is 20+)
Phone Number (if applicable)
Emergency Contact*
Relationship to Student*
Emergency Contact Phone Number*
Student must read and check the box below*
I agree.
Morning services dressy casual.
Evening services dressy.
Modesty is required for activity time.
Parent or legal guardian must read and check the box below*
I agree.
I agree to allow the directors of Lighthouse Forge Youth Conference to seek medical attention for my child in the event of an emergency or accident. I hereby waive my rights to hold Lighthouse Forged Youth Conference and/or its directors liable for any accidents.
Comments
This field is for validation purposes and should be left unchanged.