FPC Children and Youth Ministry Registration

Registration is not complete until parent has signed a Medical Release Authorization. These Authorizations are available online and at the Connect Center in the Gathering Space.   After your registration is received, you will be sent a link to fill out and sign your medical authorization form online if you prefer.

**The Registration Fee for Kids Central and Youth Fellowship is $20.00 per child, with a family cap of $50.00

Child's or Youth's Name *
Child's or Youth's Name
Parents' Names *
Parents' Names
Parent's Address *
Parent's Address
Parent's Cell Phone *
Parent's Cell Phone
Parent's Home Phone *
Parent's Home Phone
Parent's Work Phone
Parent's Work Phone