Middle School Bash

December 22, 6 PM -10 PM (Cost: $5)

Day-of registrations will also be accepted, however check-in will take longer.

Registration includes:

  • Dinner and breakfast, 1 can of pop, and lots of surprises!

To register, follow these steps:

1) Click here to access the North Terrace medical release form. Fill it out. 

We update medical forms annually at the Lock-In, so we need everyone to do this!

2) Fill out the online registration form below.

3) Text  @MSBash2016 to 81010 to receive updates for this event.

4) Turn in your medical release form and $5.

Payment options (Choose one of the 3 options. Specify the student's name and that this is a lock-in payment.)

(1) Put money & release form in envelope and turn it in to the payment box at Connection Point. 

(2) Turn money & release form in to the church office.

(3) Bring money & release form with you to the Lock-In. (with this option, check-in will take longer)

What to bring: 

  • Medical release form & $5 (if not turned in ahead of time)

  • A scooter the looks this one (if you have one)

  • Extra money for snacks, pizza, and pop that will be on sale all night!

Registration Form

Student Name *
Student Name
Grade *
Gender *
Student Phone
Student Phone
If you don't have a phone, skip this one!
Parent Name *
Parent Name
Parent Phone *
Parent Phone
Address *
Address
Fill out a North Terrace Medical Release Form, then check the appropriate box below. *
Text @MSBash2016 to the number 81010 to get text message updates for this event. This is free; you will NOT be charged.* *
Done. I just subscribed! I can't. My phone does not receive text messages. I will not subscribe because I don't like text messages.