FPC Youth Ministry Registration
Email address *
In which group will your child participate? *
Parents' name (s) *
Your answer
Child's Name (s) *
Your answer
Date (s) of Birth *
Your answer
Address *
Your answer
Phone #1 *
Your answer
Phone #2 *
Your answer
Any medical needs? *
Your answer
By typing my name, I allow church staff to transport my child to local events. I understand I will be notified of all details prior to any event. *
Your answer
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