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LFYC Registration
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
*
Male
Female
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.
Email
This field is for validation purposes and should be left unchanged.
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