GAME ON

FIRST TIME ATTENDING REGISTER HERE:

Student First Name (required)

Student Last Name (required)

Current Grade (required)

Name of school attending

Student Email (required) If not applicable enter N/A

Student Phone (required) If not applicable enter 0000

Home Address (required)

City (required)

State (required)

Zip Code (required)

Parent/Guardian First and Last Name (required)

Parent/Guardian Email (required)

Parent/Guardian Address (required) or enter same as student

Parent/Guardian phone number (required)

Emergency Contact Name and relationship (required)

Emergency Contact Telephone number (required)

Allergies

Medical Concerns/Information you would like us to know

By entering my name below, I, as parent or legal guardian of the student being registered, give permission for my child to participate in Game On and other events & activates through Frontline Ministries International for the next 12 months. I also understand that pictures and or videos made be taken of Game On and other activities'. I, as a parent or legal guardian give permission to Frontline Ministries International to take and/or use photos or videos of my child for any legal use, including but not limited to: publicity, advertising, web content. Frontline Ministries International may also store my and my child's information electronically and may use it to communicate with my child about activities' via email, text messages, phone calls and/or social media.

Parent or Legal Guardian Full Name