Fusion Registration
Student Name *
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Parent(s) Name *
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Home Address *
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Student Cell Number
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Parent Cell
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Parent Email
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School *
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Grade *
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Activities
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Birthday
MM
/
DD
/
YYYY
"D Team Buddy"...Students, as we form D Teams for the year, we want to give you the chance to list ONE friend that you'd really like to be with this year in D Teams. Leave blank if you have no preference.
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Parents, would you like to be on the weekly email that goes out?
I give my permission for my child to attend events with Faith Evangelical Free Church. I understand that transportation may be provided to offsite events. In consideration for allowing my student to participate in the activities at or with Fusion Youth Group, I hereby release Faith Evangelical Free Church, its employees, directors or agents from any and all liability for damages or injuries suffered by my child and his/her property while engaging in those activities, and agree to hold them harmless therefrom. I have read thoroughly and understand fully this Waiver of Liability, and I voluntarily sign my name in agreement with its content and terms. In case of emergency, I give permission for my child to receive medical treatment. *
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