New Year’s Eve Lock In
Information and Registration Form

Who: This event is open to all High School Youth (grades 9-12).  Friends are welcome!

Where:  St. Paul’s Episcopal Church, Parish House.  St. Paul’s Church, Parish House is located at 76 Main Street , North Kingstown, RI.

When: 7:00pm – Check In / Pizza Dinner

            8:00pm – Introduction

            8:30pm – 12:00am Big Screen Movie Theater, Karaoke, Games

            12:00am – 12:30am Happy New Year!!!  New Year’s Eve prayer service.

            12:30pm – Late Night Movie, quiet activities, lights out in sleeping areas.

            9:00am – 10:00am Pancake Breakfast.

            10:30am – 11:00am Travel to Yawgoo Valley for Snow Tubing

            11:00am – 12:00pm Snow Tubing

            12:30pm – 1:00pm Return to St. Paul’s Parish House, Meet Parents.

Cost: $20.00 (includes $10.00 snow tube pass)

 

Details:



Please sign and return the form below to register:
St. Paul’s New Years Eve Lock-In
Registration Form

Name____________________________________________  Age____  Gender_______

Parents Name____________________________Phone Number____________________

Address_________________________________________________________________

Emergency Contact______________________ Phone Number_____________________

Health Concerns__________________________________________________________

I agree to follow all rules stated here or otherwise instructed by event leaders:

 

__________________________________________   Date:____________________
Youth Name

 

I grant my child permission to attend this event: 

□ New Years Eve Lock-In

□ Snow Tubing [1-1-2006]

 

I further agree that I WILL INDEMNIFY AND HOLD HARMLESS ST. PAUL’S EPISCOPAL CHURCH, WICKFORD, from any loss, liability, damage or cost of any kind that it may incur as the result of any injury to myself, to any member of my family, or to any person for whom I am signing this agreement, even if it is contended that any such injury was caused by the negligence on behalf of St. Paul’s Episcopal Church, Wickford.

 

 

________________________________________      Date:________________________

Signature of Parent/ Guardian