Youth Back to School Movie Night (Ages 6-18)

REGISTER YOUR YOUTH:
(By August 28, 2024)

Youth Back to School Fun Friday and Movie Night, Friday, August 30th, from 6-8pm, at New Vision Church.
All are welcome to attend but you must register.

For more information email fiaministry1@gmail.com.

All are welcome to come hangout on Friday, August 30th, 6pm to 8pm. The feature movie is Jumanji. Concession stand items and beverages will be provided. The movie will start promptly at 6pm. See you there!

Youth Information:

School

Grade

Birth Date

Age

Gender:

Parent/Guardian Information:

Address

This address will receive a confirmation email

Cell Number

Home Phone

Youth Health Questions:

Please select one option.

1. Is child presently being treated for an injury or sickness or taking any form of medication for any reason? 2. Is your child allergic to any type of food or medications? 3. Does your child require a special diet?

Select responses to the above health questions:

Please select all that apply.

1. Yes 1. No 2. Yes 2. No 3. Yes 3. No

If yes, please explain: Otherwise just type

Photo Release:

I hereby give permission for my child to be photographed during interaction and to be displayed for non profit and promotional purposes including use in print, social media and all other forms of media. I understand that although my child's photographs may be used for the purposes above, that his or her identity will not be disclosed. I do not expect compensation and that all photos are the property of New Vision Church.

Photo Release Approval:

Please select all that apply.

Yes No

Youth Back to School Movie Night (Ages 6-18)

Description

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