Hot Hearts 2018- FBC Orange (6th Grade)
Event timing: January 26-27th, 2018
Event Address: Ford Park, 5115 I-10 South, Beaumont, TX 77705
Contact us at 409-886-7461, 409-670-6436, or shelley@fbco.org
$40 before Jan. 3rd, then the price goes up to $50 until the event.
First & Last Name *
Your answer
Date of Birth *
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Age *
Your answer
Is this student in 6th grade? Please remember this form is only for sixth graders. 7th-12th graders have a different form. If the answer is no, stop here and see fbco.org for appropriate link. *
Contact Number (Parent/Guardian) *
Your answer
Contact Number (Student- if they have one. If not, skip this one.)
Your answer
Address *
Your answer
Emergency Number *
Your answer
E-Mail address (Parent)
Your answer
Friend who invited you
Your answer
Insurance Company *
Your answer
Policy Number
Your answer
Allergies or other medical/special needs
Your answer
I understand that I will have to pay $$ before leaving for Hot Hearts. *
Required
I understand that First Baptist Church Children's Ministry partners with God & Parents to guide students to Maturity in Jesus Christ. I understand that as a part of a FBCO event, I will be expected to strive for maturity, especially in the areas of SELF-CONTROL, RESPONSIBILITY, and WISE DECISIONS. Furthermore, I partner with my peers and sponsors to honor God by following the “Covenant.” I shall Respect & Follow the Instructions of Sponsors / Leaders. My body shall not leave appropriate boundaries, but shall remain with the group at all times. My body shall not engage in inappropriate displays of affection. I shall Not bring fireworks, weapons, illegal substances, practical joke materials, inappropriate audiovisual equipment. I shall report any injury immediately to the sponsors / Leaders. I shall not trespass on thy neighbor’s body, or character, but shall edify at all times. (Ephesians 4:29) I shall strain to know and follow the announced schedule closely. I shall observe all event rules. I shall pitch in and help whenever and wherever there is a need. I shall aim for “Maturity”. Violation of the Covenant will result in loss of privileges and/or being sent home at violators expense, at the discretion of sponsors. Note to Parents: At FBCO, we love students! Our objective is to create environments where students can find God’s greatest expressions of freedom. That happens best when everyone knows the boundaries. We’ve found that when a parents and student sit down and go over these together, they rarely have to be mentioned during our event. Thanks for going over this with your student. By checking yes below you are confirming that the participant and parent/guardian have gone over this. * *
Concerning my student's participation in the aforementioned activity, I give Shelley Fuller and/or adult sponsors the freedom and the right to admit my child to a hospital and to seek the services of a licensed physician should any accident or bodily injury be incurred by my child during the aforementioned activity.I have discussed the activity with my youth and he/she has assured me that he/she will conduct himself/herself in a manner that will not bring disrespect to the family or church.It is understood that he/she will be chaperoned for the entire time of the activity and that normal precautions will be taken in the interest of their safety and well being. I agree that the church or chaperone will not be held responsible for any accident or misfortune, which might occur in connection with the aforementioned activity. Signature of Parent/Guardian: (type in name as signature) *
Your answer
Stop and Read
After you submit this form, you will be prompted to pay for Hot Hearts. You should pay $40 if you are paying before January 3rd, 2018. Total is $50 if you are paying after Jan. 3rd. You will input this amount in the donation section of the payment screen. This will cover Hot Hearts entry and food including various snacks & lunch on Saturday. After payment, your registration will be complete. Thank you for registering online!
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