Church and contact information Church name* ex. Grace Lutheran Church
Church city, state* ex. Wilmington, DE
Primary leader's name* The primary leader should be someone who will be on-site during the event. Please also include the primary leader in the participant registration below!
First
Last
Primary leader's email address* All communication leading up to the event will happen via email
Primary leader's cell phone number*
Event numbers and registration fees Total number of middle school youth registered*
Price: $250.00
Quantity:
Total number of adult leaders registered* Please include the primary adult leader in this number. If you are registering event staff, Small Group Leaders, or Work Crew, please do not include them in this number
Price: $250.00
Quantity:
Total number of high school LYO youth registered These are young people who are a part of our synod's high school leadership development program
Price: $120.00
Quantity:
Total number of event staff registered ex. LYO adult mentors, Work Crew, Small Group Leaders, event Chaplain, etc.
Price: $0.00
Quantity:
Are you applying for any scholarships?* We have scholarship funds available to assist youth who would like to attend the event but need financial support. There is a separate form, linked separately above, that you must complete for requests to be considered.
What is the total amount of scholarships requested?*
Would your congregation like to make a donation to the Youth Events Scholarship Fund?* All funds donated will go directly toward helping young people from our synod attend one of our youth events.
Please enter the amount you would like to donate below.
Total balance due
$0.00
Individual participant registrations Please complete the following fields for each participant, using the Individual Registration Form you have collected. As a reminder, we will need to collect these individual forms, along with the NorthBay Health Information Form, when you check in at FreeRide on Friday night.
Participant 1 Name Please use their preferred first name or nickname when entering their name - this is how their name will appear on their nametag
First
Last
Role at FreeRide Middle school youth participant Adult leader LYO youth Work Crew Small Group Leader LYO adult mentor Other
Gender
Grade 6th 7th 8th LYO youth Adult
T-shirt size All sizes are adult; 2X and 3X shirts may vary in color
S M L XL 2XL 3XL
Please list any special needs, allergies, medical issues, or dietary restrictions for this participant Information shared is kept as confidential as possible, but will be shared with event medical staff, Small Group Leaders, NorthBay staff, and other adult leaders as necessary to provide a safe and healthy experience for all participants
Click below to add another participant. If you are finished, please click "Submit." Participant 2 Name Please use their preferred first name or nickname when entering their name - this is how their name will appear on their nametag
First
Last
Role at FreeRide Middle school youth participant Adult leader LYO youth Work Crew Small Group Leader LYO adult mentor Other
Gender
Grade 6th 7th 8th LYO youth Adult
T-shirt size All sizes are adult; 2X and 3X shirts may vary in color
S M L XL 2XL 3XL
Please list any special needs, allergies, medical issues, or dietary restrictions for this participant Information shared is kept as confidential as possible, but will be shared with event medical staff, Small Group Leaders, NorthBay staff, and other adult leaders as necessary to provide a safe and healthy experience for all participants
Click below to add another participant. If you are finished, please click "Submit." Participant 3 Name Please use their preferred first name or nickname when entering their name - this is how their name will appear on their nametag
First
Last
Role at FreeRide Middle school youth participant Adult leader LYO youth Work Crew Small Group Leader LYO adult mentor Other
Gender
Grade 6th 7th 8th LYO youth Adult
T-shirt size All sizes are adult; 2X and 3X shirts may vary in color
S M L XL 2XL 3XL
Please list any special needs, allergies, medical issues, or dietary restrictions for this participant Information shared is kept as confidential as possible, but will be shared with event medical staff, Small Group Leaders, NorthBay staff, and other adult leaders as necessary to provide a safe and healthy experience for all participants
Click below to add another participant. If you are finished, please click "Submit." Participant 4 Name Please use their preferred first name or nickname when entering their name - this is how their name will appear on their nametag
First
Last
Role at FreeRide Middle school youth participant Adult leader LYO youth Work Crew Small Group Leader LYO adult mentor Other
Gender
Grade 6th 7th 8th LYO youth Adult
T-shirt size All sizes are adult; 2X and 3X shirts may vary in color
S M L XL 2XL 3XL
Please list any special needs, allergies, medical issues, or dietary restrictions for this participant Information shared is kept as confidential as possible, but will be shared with event medical staff, Small Group Leaders, NorthBay staff, and other adult leaders as necessary to provide a safe and healthy experience for all participants
Click below to add another participant. If you are finished, please click "Submit." Participant 5 Name Please use their preferred first name or nickname when entering their name - this is how their name will appear on their nametag
First
Last
Role at FreeRide Middle school youth participant Adult leader LYO youth Work Crew Small Group Leader LYO adult mentor Other
Gender
Grade 6th 7th 8th LYO youth Adult
T-shirt size All sizes are adult; 2X and 3X shirts may vary in color
S M L XL 2XL 3XL
Please list any special needs, allergies, medical issues, or dietary restrictions for this participant Information shared is kept as confidential as possible, but will be shared with event medical staff, Small Group Leaders, NorthBay staff, and other adult leaders as necessary to provide a safe and healthy experience for all participants
Click below to add another participant. If you are finished, please click "Submit." Participant 6 Name Please use their preferred first name or nickname when entering their name - this is how their name will appear on their nametag
First
Last
Role at FreeRide Middle school youth participant Adult leader LYO youth Work Crew Small Group Leader LYO adult mentor Other
Gender
Grade 6th 7th 8th LYO youth Adult
T-shirt size All sizes are adult; 2X and 3X shirts may vary in color
S M L XL 2XL 3XL
Please list any special needs, allergies, medical issues, or dietary restrictions for this participant Information shared is kept as confidential as possible, but will be shared with event medical staff, Small Group Leaders, NorthBay staff, and other adult leaders as necessary to provide a safe and healthy experience for all participants
Click below to add another participant. If you are finished, please click "Submit." Participant 7 Name Please use their preferred first name or nickname when entering their name - this is how their name will appear on their nametag
First
Last
Role at FreeRide Middle school youth participant Adult leader LYO youth Work Crew Small Group Leader LYO adult mentor Other
Gender
Grade 6th 7th 8th LYO youth Adult
T-shirt size All sizes are adult; 2X and 3X shirts may vary in color
S M L XL 2XL 3XL
Please list any special needs, allergies, medical issues, or dietary restrictions for this participant Information shared is kept as confidential as possible, but will be shared with event medical staff, Small Group Leaders, NorthBay staff, and other adult leaders as necessary to provide a safe and healthy experience for all participants
Click below to add another participant. If you are finished, please click "Submit." Participant 8 Name Please use their preferred first name or nickname when entering their name - this is how their name will appear on their nametag
First
Last
Role at FreeRide Middle school youth participant Adult leader LYO youth Work Crew Small Group Leader LYO adult mentor Other
Gender
Grade 6th 7th 8th LYO youth Adult
T-shirt size All sizes are adult; 2X and 3X shirts may vary in color
S M L XL 2XL 3XL
Please list any special needs, allergies, medical issues, or dietary restrictions for this participant Information shared is kept as confidential as possible, but will be shared with event medical staff, Small Group Leaders, NorthBay staff, and other adult leaders as necessary to provide a safe and healthy experience for all participants
Click below to add another participant. If you are finished, please click "Submit." Participant 9 Name Please use their preferred first name or nickname when entering their name - this is how their name will appear on their nametag
First
Last
Role at FreeRide Middle school youth participant Adult leader LYO youth Work Crew Small Group Leader LYO adult mentor Other
Gender
Grade 6th 7th 8th LYO youth Adult
T-shirt size All sizes are adult; 2X and 3X shirts may vary in color
S M L XL 2XL 3XL
Please list any special needs, allergies, medical issues, or dietary restrictions for this participant Information shared is kept as confidential as possible, but will be shared with event medical staff, Small Group Leaders, NorthBay staff, and other adult leaders as necessary to provide a safe and healthy experience for all participants
Click below to add another participant. If you are finished, please click "Submit." Participant 10 Name Please use their preferred first name or nickname when entering their name - this is how their name will appear on their nametag
First
Last
Role at FreeRide Middle school youth participant Adult leader LYO youth Work Crew Small Group Leader LYO adult mentor Other
Gender
Grade 6th 7th 8th LYO youth Adult
T-shirt size All sizes are adult; 2X and 3X shirts may vary in color
S M L XL 2XL 3XL
Please list any special needs, allergies, medical issues, or dietary restrictions for this participant Information shared is kept as confidential as possible, but will be shared with event medical staff, Small Group Leaders, NorthBay staff, and other adult leaders as necessary to provide a safe and healthy experience for all participants
Click below to add another participant. If you are finished, please click "Submit." Participant 11 Name Please use their preferred first name or nickname when entering their name - this is how their name will appear on their nametag
First
Last
Role at FreeRide Middle school youth participant Adult leader LYO youth Work Crew Small Group Leader LYO adult mentor Other
Gender
Grade 6th 7th 8th LYO youth Adult
T-shirt size All sizes are adult; 2X and 3X shirts may vary in color
S M L XL 2XL 3XL
Please list any special needs, allergies, medical issues, or dietary restrictions for this participant Information shared is kept as confidential as possible, but will be shared with event medical staff, Small Group Leaders, NorthBay staff, and other adult leaders as necessary to provide a safe and healthy experience for all participants
Click below to add another participant. If you are finished, please click "Submit." Participant 12 Name Please use their preferred first name or nickname when entering their name - this is how their name will appear on their nametag
First
Last
Role at FreeRide Middle school youth participant Adult leader LYO youth Work Crew Small Group Leader LYO adult mentor Other
Gender
Grade 6th 7th 8th LYO youth Adult
T-shirt size All sizes are adult; 2X and 3X shirts may vary in color
S M L XL 2XL 3XL
Please list any special needs, allergies, medical issues, or dietary restrictions for this participant Information shared is kept as confidential as possible, but will be shared with event medical staff, Small Group Leaders, NorthBay staff, and other adult leaders as necessary to provide a safe and healthy experience for all participants
Click below to add another participant. If you are finished, please click "Submit." Participant 13 Name Please use their preferred first name or nickname when entering their name - this is how their name will appear on their nametag
First
Last
Role at FreeRide Middle school youth participant Adult leader LYO youth Work Crew Small Group Leader LYO adult mentor Other
Gender
Grade 6th 7th 8th LYO youth Adult
T-shirt size All sizes are adult; 2X and 3X shirts may vary in color
S M L XL 2XL 3XL
Please list any special needs, allergies, medical issues, or dietary restrictions for this participant Information shared is kept as confidential as possible, but will be shared with event medical staff, Small Group Leaders, NorthBay staff, and other adult leaders as necessary to provide a safe and healthy experience for all participants
Click below to add another participant. If you are finished, please click "Submit." Participant 14 Name Please use their preferred first name or nickname when entering their name - this is how their name will appear on their nametag
First
Last
Role at FreeRide Middle school youth participant Adult leader LYO youth Work Crew Small Group Leader LYO adult mentor Other
Gender
Grade 6th 7th 8th LYO youth Adult
T-shirt size All sizes are adult; 2X and 3X shirts may vary in color
S M L XL 2XL 3XL
Please list any special needs, allergies, medical issues, or dietary restrictions for this participant Information shared is kept as confidential as possible, but will be shared with event medical staff, Small Group Leaders, NorthBay staff, and other adult leaders as necessary to provide a safe and healthy experience for all participants
Click below to add another participant. If you are finished, please click "Submit." Participant 15 Name Please use their preferred first name or nickname when entering their name - this is how their name will appear on their nametag
First
Last
Role at FreeRide Middle school youth participant Adult leader LYO youth Work Crew Small Group Leader LYO adult mentor Other
Gender
Grade 6th 7th 8th LYO youth Adult
T-shirt size All sizes are adult; 2X and 3X shirts may vary in color
S M L XL 2XL 3XL
Please list any special needs, allergies, medical issues, or dietary restrictions for this participant Information shared is kept as confidential as possible, but will be shared with event medical staff, Small Group Leaders, NorthBay staff, and other adult leaders as necessary to provide a safe and healthy experience for all participants
Click below to add another participant. If you are finished, please click "Submit." Participant 16 Name Please use their preferred first name or nickname when entering their name - this is how their name will appear on their nametag
First
Last
Role at FreeRide Middle school youth participant Adult leader LYO youth Work Crew Small Group Leader LYO adult mentor Other
Gender
Grade 6th 7th 8th LYO youth Adult
T-shirt size All sizes are adult; 2X and 3X shirts may vary in color
S M L XL 2XL 3XL
Please list any special needs, allergies, medical issues, or dietary restrictions for this participant Information shared is kept as confidential as possible, but will be shared with event medical staff, Small Group Leaders, NorthBay staff, and other adult leaders as necessary to provide a safe and healthy experience for all participants
Click below to add another participant. If you are finished, please click "Submit." Participant 17 Name Please use their preferred first name or nickname when entering their name - this is how their name will appear on their nametag
First
Last
Role at FreeRide Middle school youth participant Adult leader LYO youth Work Crew Small Group Leader LYO adult mentor Other
Gender
Grade 6th 7th 8th LYO youth Adult
T-shirt size All sizes are adult; 2X and 3X shirts may vary in color
S M L XL 2XL 3XL
Please list any special needs, allergies, medical issues, or dietary restrictions for this participant Information shared is kept as confidential as possible, but will be shared with event medical staff, Small Group Leaders, NorthBay staff, and other adult leaders as necessary to provide a safe and healthy experience for all participants
Click below to add another participant. If you are finished, please click "Submit." Participant 18 Name Please use their preferred first name or nickname when entering their name - this is how their name will appear on their nametag
First
Last
Role at FreeRide Middle school youth participant Adult leader LYO youth Work Crew Small Group Leader LYO adult mentor Other
Gender
Grade 6th 7th 8th LYO youth Adult
T-shirt size All sizes are adult; 2X and 3X shirts may vary in color
S M L XL 2XL 3XL
Please list any special needs, allergies, medical issues, or dietary restrictions for this participant Information shared is kept as confidential as possible, but will be shared with event medical staff, Small Group Leaders, NorthBay staff, and other adult leaders as necessary to provide a safe and healthy experience for all participants
Click below to add another participant. If you are finished, please click "Submit." Participant 19 Name Please use their preferred first name or nickname when entering their name - this is how their name will appear on their nametag
First
Last
Role at FreeRide Middle school youth participant Adult leader LYO youth Work Crew Small Group Leader LYO adult mentor Other
Gender
Grade 6th 7th 8th LYO youth Adult
T-shirt size All sizes are adult; 2X and 3X shirts may vary in color
S M L XL 2XL 3XL
Please list any special needs, allergies, medical issues, or dietary restrictions for this participant Information shared is kept as confidential as possible, but will be shared with event medical staff, Small Group Leaders, NorthBay staff, and other adult leaders as necessary to provide a safe and healthy experience for all participants
Click below to add another participant. If you are finished, please click "Submit." Participant 20 Name Please use their preferred first name or nickname when entering their name - this is how their name will appear on their nametag
First
Last
Role at FreeRide Middle school youth participant Adult leader LYO youth Work Crew Small Group Leader LYO adult mentor Other
Gender
Grade 6th 7th 8th LYO youth Adult
T-shirt size All sizes are adult; 2X and 3X shirts may vary in color
S M L XL 2XL 3XL
Please list any special needs, allergies, medical issues, or dietary restrictions for this participant Information shared is kept as confidential as possible, but will be shared with event medical staff, Small Group Leaders, NorthBay staff, and other adult leaders as necessary to provide a safe and healthy experience for all participants
Click below to add another participant. If you are finished, please click "Submit." Participant 21 Name Please use their preferred first name or nickname when entering their name - this is how their name will appear on their nametag
First
Last
Role at FreeRide Middle school youth participant Adult leader LYO youth Work Crew Small Group Leader LYO adult mentor Other
Gender
Grade 6th 7th 8th LYO youth Adult
T-shirt size All sizes are adult; 2X and 3X shirts may vary in color
S M L XL 2XL 3XL
Please list any special needs, allergies, medical issues, or dietary restrictions for this participant Information shared is kept as confidential as possible, but will be shared with event medical staff, Small Group Leaders, NorthBay staff, and other adult leaders as necessary to provide a safe and healthy experience for all participants
Click below to add another participant. If you are finished, please click "Submit." Participant 22 Name Please use their preferred first name or nickname when entering their name - this is how their name will appear on their nametag
First
Last
Role at FreeRide Middle school youth participant Adult leader LYO youth Work Crew Small Group Leader LYO adult mentor Other
Gender
Grade 6th 7th 8th LYO youth Adult
T-shirt size All sizes are adult; 2X and 3X shirts may vary in color
S M L XL 2XL 3XL
Please list any special needs, allergies, medical issues, or dietary restrictions for this participant Information shared is kept as confidential as possible, but will be shared with event medical staff, Small Group Leaders, NorthBay staff, and other adult leaders as necessary to provide a safe and healthy experience for all participants
Click below to add another participant. If you are finished, please click "Submit." Participant 23 Name Please use their preferred first name or nickname when entering their name - this is how their name will appear on their nametag
First
Last
Role at FreeRide Middle school youth participant Adult leader LYO youth Work Crew Small Group Leader LYO adult mentor Other
Gender
Grade 6th 7th 8th LYO youth Adult
T-shirt size All sizes are adult; 2X and 3X shirts may vary in color
S M L XL 2XL 3XL
Please list any special needs, allergies, medical issues, or dietary restrictions for this participant Information shared is kept as confidential as possible, but will be shared with event medical staff, Small Group Leaders, NorthBay staff, and other adult leaders as necessary to provide a safe and healthy experience for all participants
Click below to add another participant. If you are finished, please click "Submit." Participant 24 Name Please use their preferred first name or nickname when entering their name - this is how their name will appear on their nametag
First
Last
Role at FreeRide Middle school youth participant Adult leader LYO youth Work Crew Small Group Leader LYO adult mentor Other
Gender
Grade 6th 7th 8th LYO youth Adult
T-shirt size All sizes are adult; 2X and 3X shirts may vary in color
S M L XL 2XL 3XL
Please list any special needs, allergies, medical issues, or dietary restrictions for this participant Information shared is kept as confidential as possible, but will be shared with event medical staff, Small Group Leaders, NorthBay staff, and other adult leaders as necessary to provide a safe and healthy experience for all participants
Click below to add another participant. If you are finished, please click "Submit." Participant 25 Name Please use their preferred first name or nickname when entering their name - this is how their name will appear on their nametag
First
Last
Role at FreeRide Middle school youth participant Adult leader LYO youth Work Crew Small Group Leader LYO adult mentor Other
Gender
Grade 6th 7th 8th LYO youth Adult
T-shirt size All sizes are adult; 2X and 3X shirts may vary in color
S M L XL 2XL 3XL
Please list any special needs, allergies, medical issues, or dietary restrictions for this participant Information shared is kept as confidential as possible, but will be shared with event medical staff, Small Group Leaders, NorthBay staff, and other adult leaders as necessary to provide a safe and healthy experience for all participants
You have reached the maxmimum number of participants for this form To add additional participants, please click "Submit" on this form, refresh the page, and add your remaining participants.
Comments This field is for validation purposes and should be left unchanged.
