Event Registration and Permission Forms

Almost New Year's Eve All-Nighter Contact Details

The deadline to register for this event is Sunday, December 21, 2025.

Child/Youth's Name(Required)

First Last

Child/Youth's Phone Number

Child/Youth's Age(Required)

Child/Youth's Address(Required)

Street Address Address Line 2 City State ZIP / Postal Code

Add Another Child/Youth

If you have more than two children/youth to sign up, just separate their names with a comma in the space above. A separate form should be used if in a different family with a different address.

Added Child/Youth's Phone Number

If multiple, separate with a comma.

Added Child/Youth's Age

If multiple, separate with a comma.

Parent/Guardian Name(Required)

First Last

Parent/Guardian Phone Number(Required)

Contact Email(Required)

This will be the email we use to send the confirmation and any other information for this event.

Enter Email Confirm Email

Phone number of the main contact person.(Required)

Name of the person who will pick up the child/youth at 6:00am on December 29th.(Required)

First Last

Phone number of the person picking up the child/youth.(Required)

Please list any any health concerns we should be aware of.

Please provide any additional information you would like for us to know.

Event Details

ALL NIGHTER (December 28-29, 2025) You need to arrive at Orrstown United Brethren Church at 6:30pm on Dec 28 and we will return to Orrstown at 6:00am for pick up. 1st Stop: Grand Point Church, Chambersburg (7:30 PM - 9:00 PM) *2230 Grand Point Rd, Chambersburg, PA 17202 *Hosted by Scott Eckenrode. We will have a time of games, worship, and a message. 2nd Stop: Sports Emporium (10:00 PM - 2:00 AM) *29 S Middlesex Rd, Carlisle, PA 17015 *Go Karts, Laser Tron, Video Games, Pizza & Drinks *Wristbands will be given to students who are 16 years of age and older so that they can ride the indoor carts. Everyone can ride the outdoor Go-carts. 3rd Stop: ABC West & ABC East Bowling Lanes (2:30 AM - 5:00 AM) *ABC West has 46 lanes. (6454 Carlisle Pike, Mechanicsburg, PA 17050) *ABC East has 32 lanes. (1001 Eisenhower Blvd, Harrisburg, PA 17111) * Everything listed above is included in the $50 admission price. *Concession stand will be open at both locations for you to purchase any addition food or drinks you may want. *You can bring your own drinks and snacks as well.

How did you hear about this event?

Payment Details: Total cost is $50.00 per person and covers all of the above. There is no cost for those who have been in attendance at Orrstown UB Church this past year (our church will pay your fee.)

You can pay online below, pay with a check, or pay with cash. Checks and cash can be given to Pastor Rick. If paying with a check, please make it out to Orrstown UB Church. If you would like help with covering the cost, feel free to reach out to Pastor Rick. There are funds available to ensure everyone that wants to go can.

I plan to pay:(Required)

Online

Send a check in the mail

Hand a check or cash to Pastor Rick

My child attends regularly (Their fee is covered by the church)

I would like to request help with the cost

If you would like to pay online, after submitting this form you can go to the Giving page of our website or app. You will see a Give button at the bottom of the page. Click that and you will be taken to our giving form. In the drop down menu, just change the fund you want it to go to from "Tithes" to "Youth Ministry Fund".

Photo Release(Required)

Do Not Use Any Picture my Child Is In

Any of the below ways are fine

Within the Church

On social Media

On the Church Website

We take pictures during our events from time to time and may use them in a Sunday presentation, on social media, and/or on our church website. Please indicate how you would like us to use any picture your child is in, by selecting one or more preferences.

Event Registration and Permission Forms

Almost New Year's Eve All-Nighter 2025

Almost New Year's Eve All-Nighter Contact Details

Event Details

Payment Details: Total cost is $50.00 per person and covers all of the above. There is no cost for those who have been in attendance at Orrstown UB Church this past year (our church will pay your fee.)

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