Contact information for FBC Redwater Youth
Students please complete the following for any student participating with FBCRW Youth events and activities.
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STUDENT INFORMATION
Student Name *
Student Grade *
Student Birthday (**/**/****) *
PARENT/GUARDIAN INFORMATION
Parent/guardian name *
Parent cell number (###-###-####) *
Email address *
AFTER SCHOOL PARTICIPATION (COMMON PLAY)
Please read the guidelines for Wednesday after school program (Common Play) by clicking on this link: https://drive.google.com/file/d/16pzByddZew1tFQahfpNzhzWX3Jv7o8Ul/view?usp=sharing
BY CLICKING THE BOX NOTED BELOW, I AM PROVIDING MY ELECTRONIC SIGNATURE WHICH INDICATES MY RECEIPT AND UNDERSTANDING OF THE FBCRW AFTER SCHOOL GUIDELINES ABOVE AND SERVES AS AN ACKNOWLEDGEMENT OF MY INTENT TO SIGN THIS RECORD. I UNDERSTAND AND AGREE THAT MY ELECTRONIC SIGNATURE CARRIES THE SAME FORCE AND EFFECT AS MY WRITTEN SIGNATURE. *
Required
Any medical info that we would need to know in case of a medical emergency.  (Food allergies, medical conditions, etc..)
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