Middle School Conference Registration

Students Name

Parent's Name(s)

Parent's Email

This address will receive a confirmation email

Parent's Phone

Are there any food allergies or other health concerns that would be helpful for us to know?

Which Student Ministry do you attend?

Citylight Student Ministry First Christian Students Other

Listed in the bottom of the description of this event is the Waiver & Consent Forms of both Citylight and First Christian Students. We ask that you fill out the form of the Student Ministry your child attends.

Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

June 4th-6th

Who: Middle School Students
When: June 4th-6th.
Thursday: 10:00am-9:00pm
Friday: 10:00am-9:00pm
Saturday: 10:00am-12:00pm

Where: Citylight Council Bluffs 2109 Railroad Highway Council Bluffs, IA 51503

Bring: Bible, Notepad, refillable water bottle, shoes your ok running in, *Appropriate Swim Clothes for Friday Water Games* and a towel.

Do Not Bring: weapons, an attitude, pocket knives, game systems, drugs, alcohol, vapes, or tobacco.

Cost: $40 per student. Please don’t let money be the reason you don’t go! Let us know, and we're glad to help make it possible.

Waiver & Consent Forms: Please copy and fill out the form of the Student Ministry your child attends. If you selected other, fill out Citylight Students waiver. Thank you!

First Christian Students:
https://myfcc.churchcenter.com/people/forms/1020680

Citylight Students:
https://citylightcb.breezechms.com/form/20e82d

Middle School Conference Registration

Description

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