Who is one person that you would like to room with, if possible?
Your answer
Teenage Participant Name *
Last name, First name
Your answer
Parent Full Name *
Last name, First name
Your answer
Parent Email Address *
Valid Email
Your answer
Parent Phone Number *
Valid Number
Your answer
Parent Address *
Full Address
Your answer
Teenage Participant Age *
Current Age
Your answer
Current grade of the Teenage Participant *
Required
T-Shirt Size *
If we work it out to get T-Shirts for this event, what size would your teenage participant prefer? PLEASE NOTE THAT 2XL & 3XL SHIRTS WILL COST MORE.
Required
Do I have a 2019-2020 Medical Release Form on file for your Teen? *
Not sure? Contact Youth Minister, Michael Rector, to find out for sure -- fairlaneym@gmail.com. Forms can be picked up in the Office or on our website under the "Fairlane Youth Ministry" tab.
Additional Information *
Is there any other information you'd like us to have that wasn't included in this registration process or our 2019-2020 Medical Release Form?