Fresh-Soph Retreat in Galveston!
Oct 13-14 | $100

It’s time to hit the beach with all of your freshmen and sophomore friends! The weekend is a great opportunity to spend time with new friends and the youth staff. Sign up now!

Last Name of Student *
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First Name of Student *
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Gender *
Grade *
School *
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Parent Email Address (primary) *
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Parent Email Address (secondary)
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Mother's Cell # *
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Father's Cell # *
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Student's Cell # *
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Emergency Contact (if parents can't be reached) *
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Emergency Contact # (if parents can't be reached) *
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Medical Insurance Provider *
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Medical Insurance Phone # *
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Medical Insurance ID *
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Medical Insurance Group # *
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List any allergies or medical conditions: *
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I hereby give permission for my child to attend the FPC HS 9/10th Grade Retreat to Galveston, from October 13-14, 2018, riding as a passenger in church rented bus or van. I also give permission for any member of the FPC Youth Team, in the event of an emergency, to seek dental &/or medical attention necessary for my child. *
Required
As with any FPC sponsored event, I understand that my child will need to adhere to all rules and guidelines as set forth by the FPC Youth Staff and/or Volunteer Leaders, and that failure to comply may result in being released early from the event. I also understand that, in the instance my child is released early from an event, I will be responsible for getting my child home from said event. *
Required
I acknowledge FPC's "zero tolerance" policy on illegal substance abuse, including e-cigarettes, and I understand my child will be released early from any FPC event, in the case that my child is caught with an illegal substance. I also understand I am responsible for getting my child home, in the event they are released from said event. *
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