Registration for 2022-2023 Midweek Ministries
Please fill out for any family members in Kindergarten-12th grade who will be attending FBC's Wednesday Night Route 356 and/or Youth Group September 2022-May 2023.
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Names (youngest to oldest) of students attending Route 356 & Youth Group September 2022-May 2023: *
Grades of students attending (K-5th is Route 356, 6th-12th is Youth Group): *
Required
Do any of these students have food allergies or health concerns we should be aware of? *
If "Yes" to answer above, please list name & allergy or health concern:
Name of Parents/Guardians: *
Phone number for Parents/Guardians: *
Alternate Emergency contact:  (Name & number)
Do you give permission to photograph your student?  (Photos may be used on the Church's Facebook page to share what students are doing in these ministries.) *
Does your student need a ride?  (If yes, someone from our van ministry will contact you.)
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Other comments/questions:
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