Thank you for your interest in our Neighborhood Bible Time Teen Rally 2017 to be held here at First Baptist Church of Oxford on July 16-20, Sunday-Thursday, 6:30-9:00 p.m. To help us better prepare for your teenager joining us, and to help save you time when you send or drop off your teenager, we have set up this simple registration page. Please submit a separate registration form for each teen. You can copy and paste any duplicate information. All information provided will be maintained confidentially and used only for direct ministry purposes. If you prefer, you can print out this page, provide the requested information, and then mail it directly to the church.
NBT Teen Rally 2017 First Baptist Church of Oxford
Teen’s Name (first last):
Grade in school (as of fall 2017):
Church you attend (if any) [optional]:
Parent/Guardian Name (first last):
Is there anyone other than the above named parent/guardian whom you authorize to pick up your teen? Please list specific name(s) and relationship to the teen. If there is any question, government issued photo ID will be required.
City: State: ZIP code:
Parent’s Phone: Mobile? (Yes or No)
Do you need transportation assistance for your teen to participate? Please provide details so we can contact you to confirm arrangements. Note: We fill these requests on an as-able basis.
Do you have any questions you would like us to address?
Every effort will be taken to ensure the health and safety of each teen present at Neighborhood Bible Time. In the event of any injury, the parent/guardian will be contacted. If medical treatment is needed, and the parent/guardian cannot be reached, you are giving the church permission to seek medical assistance for your teen, as may be required, and you agree to assume financial responsibility for any treatment provided.
Health Insurance Provider: Insurance ID:
Your full name: Date: