Youth Group Registration, Permission, and Medical Release Form
Please fill out this form to allow your child to attend and participate in activities sponsored by Faith Baptist Church through August 31st, 2019.
Teen's Name *
Your answer
Age *
Your answer
Birthdate *
MM
/
DD
/
YYYY
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Home Phone # *
or parent's cell #
Your answer
Teen's Cell Phone #
Your answer
Child's school
Your answer
Grade *
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