CID LCMS Youth Ministry
Lock In Survey
JR Hi Lock-IN Registration form
9pm Friday to 5am Saturday
November 8-9, 2019
Indicates required field
Contact Cell #
Numbers of your Group
Adults (stay for free!)
Enter the number of adults staying at the Lock In. 1 adult per 7 youth.
Youths ($35 each plus $15 late fee (after 10/18)
Enter the number of 6th-9th grade youth staying all night. Please note that there is a $15 late fee after 10/18!
Please multiply the total number of youth attending by $35 and enter it here.
Please mail one check for the total amount due payable to:
CID Jr-Hi Lock-In
Central IL District LCMS
1850 N. Grand Ave. W.
Springfield, IL 62702-1626
All youth attending and Adults staying receive a T-Shirt.
Comments or Questions
CID District Youth Committee -
Teacher Carmen Yagow DCE Jonathan guse
Pastor Shawn Boylan
District Executive Trip Rodgers