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 *
Age *
Birthdate *
MM
/
DD
/
YYYY
Address *
City *
State *
Zip Code *
Home Phone # *
or parent's cell #
Teen's Cell Phone #
Child's school
Grade *
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