youth events

YOUTH EVENTS REGISTRATION

ALSO

Sr. High Mission Tour - Rio Rancho, NM

(9th-12th grades)

June 14-24

Cost:$265

Please use our online PayPal to pay for these events.

*Event:

*First Name: *Last Name:

*Gender: Male Female

*Date of Birth: mm/dd/yyyy

*Student's Email:

Students Cell:

Cell Carrier:

*Address:

*City:

*Home Phone #:

*Parent's Names:

*Emergency Contact Name:

*Emergency Contact #:

*Parent's Email:

*School:

*Grade: 7th 8th 9th 10th 11th 12th Chaperone

T-Shirt Size: Sm Med Lg Xl xxl

*FBC Member?: Yes No

Guest Of (non members only):

I would like to use $ from my youth account

Comments:

I have a current Medical Release Form on file: yes no

REMEMBER. . .you are not fully registered until you have made your fee payment!.

All Participants must complete the new 2011 - 2012 Medical Release Form. Click HERE to download the Medical Release Form.