Information Sheet
No Password Required
Please read this over completely & review it with your child(ren).  You and they will be responsible for the information contained within it.  Please be sure to carefully review the dress policy.  Do not let your child pack clothing that violates the policy.
Information Sheet
How Can I Go On the Fall Retreat For Free?
Crossroads Chapel generously supports FUEL by paying a portion of youth retreats, camps, & activities through scholarships.  However, students can help themselves through fundraising opportunities throughout the year.  We have had some students raise over $400 in one year through these fundraising events.  The money they raise is applied directly towards students’ out of pocket costs for our FUEL events and activities.

Fundraisers Throughout the Year:
Spring: 30-hr Famine
Summer: Servant for a Day
Fall: Fall Festival Chili Cook Off

2018 FUEL Fall Retreat Registration

Registration Closed

Registration Closed

Registration Closed


Release
I do hereby give my permission for my child(ren) named below to attend and participate in all activities conducted by the FUEL Youth Ministry at Crossroads Chapel. 

I further give my permission for any adult volunteer to obtain necessary medical attention in case of sickness or injury to my child.   I have identified any medical conditions that might require special attention in the above form.

I do hereby release and discharge all adult volunteers and Crossroads Chapel from any and all claims, demands, actions or cause of action, present or future arising out of any damage or injury while my child is in their care while attending FUEL Youth Youth Ministry and associate FUEL events.

I, the undersigned, do hereby verify that all the information given on this form to be correct.

Registration Form

Registratio​n Open

Registratio​n Open

PARENT NAME(S)
PHONE - HOME and/or CELL
EMAIL
ADDRESS
CITY & ZIP
Emergency Contact - if someone other than Parent
Medical Insurance Company
Emergency Contact Phone Number
Emergency Contact's Relationship to student
Policy or Group Number
(1) Student's Name
(2) Student's Name
(3) Student's Name
(1) Allergies/Other information
(2) Allergies/Other information
(3) Allergies/Other information
Parent/Legal Guardian Release Signature
Date
(1) Student's Email
(1) Student's Phone Number
(2) Student's Phone Number
(2) Student's Email
(3) Student's Phone Number
(3) Student's Email
Submit