Skip to content
Menu
About Us
Pastoral Staff
Get Connected
LFYC
Christian Education
Celebrate Recovery
Calendar
Contact Us
Prayer Requests
Give
Need a Ride?
Close Menu
LFYC Counselor Registration
"
*
" indicates required fields
Church Organization
*
Church Phone Number
*
Pastor's Name
*
Counselor's Name
*
Phone Number
*
Age
*
Gender
*
Male
Female
Emergency Contact
*
Relationship to Counselor
*
Emergency Contact Phone Number
*
Please check one
Staying on Campus
Staying in a Hotel
Counselor must read and check the box below
*
I agree
Morning services dressy casual.
Evening services dressy.
Modesty is required for activity time.
Counselor 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 myself in the event of an emergency or accident. I hereby waive my rights to hold Lighthouse Forge Youth Conference, Lighthouse Ministries, and/or its directors liable for any accidents during any activity associated with or connected to the Forge Youth Conference.
LinkedIn
This field is for validation purposes and should be left unchanged.
Δ
