Annual Conference 2024 Submit this form to register your youth for the upcoming AFLC Annual Conference hosted by the Free Lutheran Bible College & Seminary. All conference attendees must also register through the AFLC. More info here. Women must register separately if attending WMF Day. To request on-campus housing, email events@flbc.edu or call 763-544-9501.Name(Required) First Last Email(Required) Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Mobile Phone(Required)Church Name(Required)Church City, State(Required)Registration Type(Required) Youth Track (Entering Grade 7 and up) (Check all that apply)This field is hidden when viewing the formConference Meals and PackagesWednesday Lunch (WMF/Preconference Guests) Quantity Price: $20.00 Quantity Wednesday Lunch (WMF/Preconference Guests 10 and under) Quantity Price: $10.00 Quantity Thursday Breakfast (WMF only) Quantity Price: $7.00 Quantity Thurs - Sat Lunch Package Quantity Price: $60.00 Quantity Thurs - Sat Lunch Package (ages 10 and under) Quantity Price: $30.00 Quantity Thursday Evening Food Truck Voucher Quantity Price: $14.00 Quantity Non-voucher purchases may be available but are not guaranteed. Friday Breakfast (FLAPS Only) Quantity Price: $7.00 Quantity Friday Night Pre-Packaged Meal (Chick-fil-A) Quantity Price: $13.00 Quantity Friday Pastor's Banquet Quantity Price: $20.00 Quantity Children and Youth RegistrationDays Attending(Required) Wednesday, June 12 Thursday, June 13 Friday, June 14 Saturday, June 15 Select the days you plan to have your children in the nursery or attend the VBS/Youth Track. Enter any additional information regarding days attending.Nursery Registration(Required)First NameLast NameAge (as of 6/12/24) Newborn1 Year Old2 Year Old3 Year Old Add RemoveEnter each child registering for Nursery. Use the + button to add rows. VBS Registration(Required)First NameLast NameGrade Entering Pre-K (at least 4 years old)K123456 Add RemoveEnter each child registering for VBS. Use the + button to add rows. Youth Registration(Required)First NameLast NameGrade Entering 789101112Recent Grad Add RemoveEnter each student registering for the Youth Track. Use the + button to add rows. Will your student be participating in one or more of the optional off-campus afternoon youth track activities?(Required) Yes No Prices below include the cost of transportation and general admission. Students will stay on-campus Saturday afternoon. There will be no programing or supervision for youth who chose not to participate in the Wednesday-Friday offsite activities. Youth Track Only: Wednesday - Swimming, Volleyball, Hiking at French Park in Plymouth, MN Quantity Price: $5.00 Quantity Youth Track Only: Thursday - Sky Zone Trampoline Park in Maple Grove, MN Quantity Price: $30.00 Quantity Please review additional waiver requirements at the Sky Zone Website.Youth Track Only: Friday - Bowling in New Hope, MN Quantity Price: $25.00 Quantity Parent/Emergency Contacts(Required)Contact NameRelationshipMobile Number MotherFatherOther Add RemoveProvide contact information for nursery, VBS, or youth staff to reach a parent or another emergency contact. Medical Release/Allergy InfoIn signing this assumption of risk, I certify that my child is able to participate in the following activities, minus any exceptions I will list below. General on-campus recreation Youth Track Only: Riding in a vehicle to off-campus activities with a staff member or contract bus driver Youth Track Only: Off-campus afternoon activities (Swimming, Sky Zone Trampoline Park, Bowling) I do not want my child to engage in the following activities:Initials(Required)Below are allergies or medical conditions that may be relevant to conference staff for snack prep or to a physician in the event of an emergency:Initials(Required)I authorize staff who are in charge of any specific activity to make emergency medical decisions for my child in the event I cannot be reached. I will immediately notify the person in charge of any activity of any change in the information presented here. I agree that this Assumption of Risk shall be valid until I revoke it. I have signed this Assumption of Risk both in my own capacity as a parent/guardian of my child and in a representative capacity on behalf of my minor child. I represent and warrant to FLBC that I have completed this Assumption of Risk form for my child to participate in this activity; that it is complete and correct in all its information; that I have inserted my initials beside each completed item; and that I have dated the form and typed my name below to represent to FLBC my intent to be fully bound in accordance with its terms.Initials(Required)Media ReleaseI consent for my child in the VBS or Youth Track to appear in photos or video footage of this event that may be used in FLBC or AFLC promotional materials.InitialsSignatureFull Name of Parent/Legal Guardian(Required)Date(Required) MM slash DD slash YYYY PaymentPayment Type Credit Card Pay at the event/ Mail check Please write checks to FLBC and mail to 3134 E. Medicine Lake Blvd. Plymouth, MN 55441.Total Credit CardCard Details Cardholder Name FLBC maintains a No Refund Policy for all events. Δ
