RegistrationandForms - FBCNN Youth Alive

FBCNN Youth Alive
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FBC Newport News

Registration and Forms

February 22, 2012

Welcome to the new Youth Ministry Registration Form. This form can be used to register for any and all Youth Ministry Activities when registration is required. Currently Registration is being accepted for the following events.

July 7 - Water Country USA - registration needed in order to plan for transportation.

July 10-15 - PBA Work Camp - Cost $135.00 - registration needed before July 6.

July 18-22 - Vacation Bible School - Middle School Class for all 6th-8th graders.

July 25 -30 - Centrifuge - Cost $263.00

August 5 - Tubing on the James River - registration needed in order to plan for transportation.

August 16 - Busch Gardens - registration needed in order to plan for transportation.

Activity Registration

Name of Event for which you are registering:
Youth's First and Last Name
Date of Birth:
Gender	Male Female
Grade Level	6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade
Home Address:
City:
State:
Zip Code:
Home Phone Number:
Mother/Guardian's Name
Mother/Guardian's Cell Phone
Father/Guardian's Name
Father/Guardian's Cell Phone
Name of Responsible Adult at church if different from Parent/Guardian
Parent/Guardian Email:
Does your youth have a drivers license?
If yes, are they permitted to drive to and from church?
Are there any arrangements (custody/visitation) of which we should be aware?
Does your youth have any medical, physical, or emotional needs of which we should be aware?
Please list any known food or other allergies:
Occasionally FBCNN may take pictures of youth for slideshows, church publications, and for church related websites. Please check whether you do or do not authorize a photo of your youth to be used for such purposes.	I Give Permission I Do Not Give Permission
Name of adult completing this form:

FBCNN Youth Alive

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