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FUMC 30-Hour Famine Form $15 Activity Fee
30-Hour Famine Medical Information/Permission/Waiver Form
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* Indicates required question
Email
*
Your email
Famine Info Page 1
Famine Info Page 2
Youth Last Name
*
Your answer
Youth First Name
*
Your answer
Youth Nick Name
Your answer
Address (Street, City, State, Zip)
*
Your answer
Home Phone Number (123-123-1234)
Your answer
Youth Cell Phone (if applicable)
Your answer
Youth Email Address
Your answer
Birthday
*
MM
/
DD
/
YYYY
Grade
*
6
7
8
9
10
11
12
Gender
*
Male
Female
T-shirt Size
*
XS
S
M
L
XL
XXL
Name of friend you would like to be in a group with.
Your answer
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