Fuge Camp Registration 
Fuge 2024 -- Southside Students
  • July 1st through 5th
  • Grades 7 through 12
  • Hosted at WorldSong Retreat
    1200 WorldSong Road, Cook Springs AL 35052
  • Discounted Cost: $250
  • Payment due June 15th 
  • T-Shirt Included! All Sizes Available Upon Arrival at Camp
  • Questions? Call/text Pastor Nathan Raiche at 336-575-3206 or email nathan@sbcsouthside.org
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Student Full Name *
Home Address *
Student Age *
Student Date of Birth *
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DD
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Grade Level (Grade Completed Just Prior to Camp) *
Emergency Contact #1
NAME
*
Phone Number *
Relationship to Student *
Emergency Contact #2
NAME
*
Phone Number *
Relationship to Student *
List any prescription medications your student will be taking during the week. Please include frequency and dosage for each. 
*
Total Cost for the Week is $250. I will make payment by cash or check payable to Southside Baptist Church prior to June 15th.
*
Required
Parent Permission: I give my child permission to attend FUGE 2024 in its entirety as a student with Southside Baptist Church. I understand that that transportation of my child will be provided by SBC church vehicle (van/bus) to and from WorldSong Retreat Center.
*
Required
Printed Name of Signee *
Thank you! We are praying for an incredible camp week and excited to watch God do what only he can do in the lives of our students!
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