Hull FRC Program Registration

Please fill out this form and click submit.

Child/Youth's Contact Information

Name

*

Phone

*

Note: This phone number is for the student's cell phone number. If the student does not have a cell phone please write your own number or whichever number you'd like to receive notifications and alerts.

Birthdate

*

Grade

*

Please select one option.

No Grade Pre-Kindergarten Kindergarten 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th Graduated

Allergies

Family Contact Information

Emergency Contact Name 1

*

Emergency Contact Number 1

*

Emergency Contact Name 2

Emergency Contact Number 2

Email

*

This address will receive a confirmation email

Address

*

I give permission for photos to be taken of my child and used for promotional materials

*

Please select all that apply.

Yes No

(For 7th Graders and Older): I give permission for my child to attend field trips with the youth group

*

Please select all that apply.

Yes No Child is not 7th grade or older

T Shirt Size (For 7th grade and Older)

*

Please select all that apply.

YS YM YL S M L XL 2XL 3XL Student is not 7th grade or older

Description

Please fill out this form and click submit.

Please Fix the Following

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