Youth Lock-in MIDNIGHT MADNESS Letter

TO: Pastors, Youth Leaders and Youth of the Elkhorn Valley District
FROM: Elkhorn Valley District Youth Ministry Team

We are very excited about the “Midnight Madness” Lock-In scheduled for
March 25-26, 2011, from 10:00 p.m. on Friday until 7:00 a.m. on Saturday at
the Wayne State College Rec Center in Wayne, NE.

The Lock-In is for any youth in grades 7 – 12 and the fee is $10.00 per person.
The $10.00 fee also applies to any adults accompanying the youth and we
are asking that there be a ratio of one adult sponsor (who stays the night) for
every eight youth that attend.

Many activities will be available at the Rec Center such as swimming (from
10:30 p.m. to 12:30 a.m.), basketball, volleyball, racquetball, dodgeball,
movies, and group games. We also have a dynamic speaker lined up (at 2:00
a.m.) and some other exciting and fun things planned. So, be sure and bring
your swimsuit, towel, tennis shoes and enthusiasm. And, if you don’t plan to
stay up all night, you might want to also bring your sleeping bag and pillow!

In order to keep the registration fee for the lock-in as low as possible, we are
asking for your help in furnishing the snacks, food and drinks for the evening.
Once we have received your registration forms back, we will be contacting
the youth leader to ask your group to bring a designated item to the lock-in.
The Rec Center policy does require that food and drinks be limited to a
certain area, so your cooperation in following the Rec Center guidelines will
be most appreciated.

The doors to the Rec Center will be locked at 11:00 p.m. on Friday night.
Once the doors are locked, entry into and out of the building will not be
allowed. Therefore, if your group must arrive late or leave early for some
reason, please include this information with your registration.

Please note that we need to have all registration forms and fees sent in to
the Elkhorn Valley District Office by Friday, March 4, 2011, so that we know
how many youth and adults to plan for. We appreciate your attention to this
detail!

If you have any questions or would like more information, please contact
Rhonda Surface, Bloomfield, at (402)373-4281 or Jeff and Amanda Shabram,
Orchard, at (402)393-3033.

We look forward to seeing you at the “Midnight Madness” Lock-In!

MIDNIGHT
MADNESS!!

Elkhorn Valley District Youth Lock-In
Grades 7 -12

March 25 – 26, 2011

10:00 p.m. on Friday to 7:00 a.m. on Saturday

Wayne State College Rec Center

1100 Main Street, Wayne, Nebraska

$10.00 per Youth or Adult

Swimming, Racquetball, Volleyball, Basketball, Dodgeball,
Movies, Food, Drinks, Group Games, Guest Speaker and More!

BRING: Sleeping Bag, Pillow, Tennis Shoes,
Swimsuit, Towel, and YOUR ENTHUSIASM!

Groups must have a minimum of one adult
stay all night for every 8 youth that attend.

Send completed registration form and fee by Friday, March 4, 2011 to:

Elkhorn Valley District Office UMC,
PO Box 1283,

Norfolk NE 68702

If you have any questions, please contact Rhonda Surface
at (402)373-4281 or Jeff and Amanda Shabram at (402)893-3033.

WE HOPE TO SEE YOU
THERE!!

Registration Form

MIDNIGHT MADNESS

Elkhorn Valley District Youth Lock-In
For Grades 7 -12

March 25 – 26, 2011
10:00 p.m. on Friday to 7:00 a.m. on Saturday

at the Wayne State College Rec Center,
1100 Main Street, Wayne, Nebraska

COVENANT OF RESPECT AND RESPONSIBILITY

At this District Youth Lock-In, I understand and will abide by the following rules:
1. Tobacco, alcohol, or drugs will NOT be tolerated.
2. I will not intentionally injure another person and will be responsible for my own behavior.
3. I will respect the other youth and adults and the property/equipment of the Wayne State
College Recreational Center.
4. I will participate in scheduled events with a positive and prayerful attitude and abide by
group decisions.
Youth Signature: _________________________________________________________________

I grant permission for my son/daughter to attend the March 25-26, 2011, United Methodist Elkhorn
Valley District Youth Lock-In at the Wayne State College Recreational Center. I understand that if
he/she breaks the rules, I will be responsible to come and get my youth as soon as possible after I
am called. In the unlikely event of a medical emergency, I give my permission for my
son/daughter to be treated by an accredited physician in an approved emergency clinic or
hospital. I designate adult chaperones for the group with the authority to act on my behalf and
order appropriate medical treatment.

Parent/Guardian Signature: _______________________________________________________

Youth’s Printed Name: ______________________________________________ Grade: __________________________

Parent/Guardian’s Printed Name: ______________________________________________________________________

Night telephone number where Parent/Guardian can be reached: ____________________________________

Medical Insurance Company Name: ____________________________________________________________________

Policy Number: _______________________________________ Phone: _________________________________________

Name of Physician: ____________________________________________________ Phone: ________________________

List allergies to drugs, medications, or food: __________________________________________________________

_______________________________________________________________________________________________________

Are there any limitations of activity? YES ______ NO _______

If YES, please explain: ______________________________________________________________________________

Are there any other health issues that should be known (medications, medical conditions, etc.):

_______________________________________________________________________________________________________

Name of Church and Town: ___________________________________________________________
Youth Leader’s Name: ________________________________________________________________
Youth Leader’s E-mail Address: ____________________________ Phone: _________________