Fuel Cooking/Youth Group Registration and Permission
This form is to register your child(ren) ages 10-18 to join and participate in the Bucklin Free Methodist Church Fuel Youth Group Program. This program is FREE and all supplies will be provided. Next meeting is February 20th at 11 AM at the Worship Center (204 S. Ford, Bucklin, KS) and will involve cooking a meal that they will share with others in the community and also bring home to share with their family. Youth will Learn to Cook, Learn to Share, and Learn to Care in a fun and loving environment. Questions about this event can be sent to bucklinfreemethodistchurch@gmail.com or call Pastor Jeff at 405-612-2727 or Jana at 719-510-3692.
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Email *
List the children's names and ages that  you would like to register for this event. *
Parent’s Name *
Parent Phone Number #1 *
Parent Phone Number #2
Other non-parent Emergency Contact Name and Phone Number
Please list any and all allergies, medical conditions and any medications being taken that we should be aware of.
PHOTO AND VIDEO RELEASE FOR MINOR: I, as parent/guardian with legal responsibility of the child(ren) listed above, hereby grant Bucklin Free Methodist Church / Fuel Youth Group the perpetual right to use photographs or video taken of my child/dependent for any legitimate purpose without compensation to my child/dependent heirs, executors, or assigns. Legitimate purpose may include, but are not limited to, advertising on the web, in newspapers, magazines, internal publications, display prints, worship services, special events, curriculum, etc. *
PERMISSION: By checking Yes, I give my child(ren) listed above permission to attend Bucklin Free Methodist Church / Fuel Youth Group events. I give permission for my child(ren) listed above to participate in supervised activities, except for those noted below. *
Required question, if you chose "Yes - with stipulations" to prior question. If there are any activities you do not want your child(ren) participating in, please list those here. Common activities that will be happening will be cooking, eating, indoor and outdoor games/activities, Bible based lessons, and service projects for others.
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