FORMS

Planet Wisdom 2018 - Registration Form

Deadline to register is Jan. 21st or when all spaces have been filled (whichever comes first). Spaces are limited and available on a first-come, first-served basis. Cost is $90 per person (Early-Bird Rate) until 12/15 and $100 after 12/15 (until 1/21). This includes the cost of the event, hotel fee (based on 4/room) and transportation.
  • EVENT PARTICIPANT INFO
  • First Name
    Last Name
  • PARENT INFO
  • First Name
    Last Name
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  • ADULT VOLUNTEERS - Your help is needed as chaperones and drivers. Please let us know how you are willing to help.
  • First Name
    Last Name
  • EMERGENCY CONTACT INFO
  • First Name
    Last Name
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  • SPECIAL DIETARY NEEDS FOR EVENT PARTICIPANT?
  • PARENT AGREEMENT
  • By submitting this form I agree that my son/daughter has permission to participate in the LUMC Youth trip to Planet Wisdom in Woodbridge, VA on March 2-3, 2018. I understand a non-refundable deposit of $40 (check payable to LUMC Youth) is due by 12/15, and the balance of $50 is due no later than 2/18. (If registering between 12/16 and 1/21, initial deposit is $50.) If I have not already done so, I will complete a 2017-2018 "Parental Consent, Medical Emergency & Liability Release Form" for my child, as well as our LUMC Youth Code of Conduct, all of which can be found on the church website (www.lumcvb.org).