REFUEL for Students

Name: REFUEL for Students
Start: 2021-03-05
End: 2021-03-07
Location: I-70 Campus

March 5-7

Refuel is a weekend experience for all students in grades 6-12 . We will be meeting Friday, Saturday, and Sunday for high energy worship, teaching, games, competitions, small group discussion with amazing leaders and friends.

This year students will NOT be staying in host homes in order to ensure social distancing.

We will meet:
• Friday Night: 6-10:30 pm
• Saturday: 11am-9:30 pm (lunch and dinner provided)
• Sunday: 9-11:45 am (breakfast provided)

This cost is $25 for regular attending students and only $10 for first time friends that join us because we want you to bring EVERYONE! The cost covers your Refuel Shirt, your teams colored facemask, Refuel Activities, meals, and more!

**Registration forms and payments are due
by February 28 at the Parent Meeting in The CORE from 12:00-12:30pm.

Click to download a printable registration form
Click to download the 2021 Notary Form

REFUEL 2021 Registration

Student Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Guest of (if applicable)
First Last
Age
2020-21 Grade
Gender
- Male
- Female
T-shirt Size (adult sizes)
Parent(s) Name
Parent Cell Phone
Parent Email
Emergency Contact Name (other than parent)
Emergency Contact Phone
Health Insurance Company
Insurance Company Address/Phone
Insurance Policy Number
Insurance Group Number
Event Waiver and Consent*
In consideration of the attendance of my child at REFUEL Weekend, and for allowing my child to participate in this activity, I do hereby release and discharge First Baptist Church Blue Springs and all of its pastors and adult leaders acting officially or otherwise from any and all claims, demands, actions, or causes of action on account of any injury sustained by my child during said above named activity. I understand that an attempt will be made to notify the parents first. If the parents are not available, however, the youth will be taken to the emergency room at the nearest hospital as circumstances may warrant. If any conduct of the participant warrants them to be excused from participation in the event, I assume all responsibility for disciplinary action and picking up my child upon being notified by the Student Pastor.
I (parent) agree to the event waiver (please check).
Parent Name (electronic signature)*
First Last
Sorry, online payment is not available for REFUEL. Payment may be made by check or cash at the church.

The event is finished.

Date

Mar 05 - 07 2021

Expired!

Location

I-70 Campus