Register Online - Future Quest 2023

Student Information

Student Name*

First Name Last Name

Student Email*

Age*

Student Gender (M/F)*

Male
Female

School (in Fall of 2023)*

Grade in Fall 2023 (7th -12th only)*

Address*

Unit #

City*

State*

Zip*

Do you attend Foothills Church?

Yes
No

Church (no abbreviations)

Parent Information

Parent First & Last Name*

Parent Email*

Parent Phone*

Does your child have permission to receive over-the-counter medications at Future Quest*

(All medications are administered by a registered nurse.)

Medication Notes

Does participant have any medical conditions or allergies that we need to be aware of?*

Please Explain*

*

I do hereby release, forever discharge and agree to hold harmless Foothills Christian Ministries, Inc., the directors, the employees, volunteers and agents thereof, from any and all liability, claims or demands for personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever which may be incurred by the participant that occur while said person is participating in the above described activity, including any offsite activities, including for any liability sustained by said acts of said participant, including expenses incurred attendant thereto. I understand participant may be transported in church commercial vans/buses from 315 W. Bradley to sites and businesses where various events occur. In addition by signing this I authorize the possible photographing or videotaping of the participant during various events.

Student Signature*

Parent Signature*

Emergency Contact Name*

Emergency Contact Phone*

Check here to receive information from our partner, San Diego Christian College

Select a Ticket

Select Registration Option*

Coupon

Total

$0.00

Credit Card*

Card Details

Cardholder Name

Total

$0.00

Visting from another church?

FUTURE QUEST 2023 INDIVIDUAL REGISTRATION FORM

Student Information

Parent Information

Select a Ticket