U|C Youth Participation Agreement

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Uncommon Church is a small but growing church in Lisbon, IA. We long to see people of all ages experience and spread the love and hope of Jesus Christ together.

Pastor Andrew Bee also has the privilege to work at Lisbon School as a Para Educator and facilitates the Lisbon School FCA Huddle. This youth group began out of relationships formed with students and their request for a youth group in town. We are excited to serve our community this way.

We meet weekly on Wednesdays.

Each time we meet, we serve a simple meal, play games or have an activity and study the Bible together.

Email *

Name of participants: *

First and last name (list all students participating)

Name of parents/guardians: *

First and Last Name

Email *

Phone number *

Address

Name of emergency contact: *

Emergency Contact Phone Number

List allergies or medical conditions: *

Do you authorize Uncommon Church and it's agents to approve medical treatment? *

Yes

Is the participant covered by personal/family medical insurance? *

Yes

Name of Insurer: *

Policy or group number:
*

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