Revival Fire 2 – Gen Z Worship Rally

April 28, 2023

Bozeman, MT (Leave Billings 4pm, Arrive back 12-1am)

We will meet at the church at 4 pm and carpool from the church. We will return the same night (early morning the next day) to save on costs. Youth will need to bring their own money for food, and bring $20 for gas/expenses. If you have questions, please call Coralei at 406-749-8547.

Fill out the consent form below for your youth to participate!

Parent/Guardian Information
Name of Parent/Guardian
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Phone
Does this phone receive texts?
Email
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Emergency Contact
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Youth Information
Youth First Name
Youth Last Name
Age
Grade
Allergies
Healthcare Provider
Insurance Company Policy Group
Consent
Consent*
I am the parent/legal guardian of this youth and give them permission to ride with a Life Source Youth Group Leader to Bozeman, MT April 28, 2023 to attend Revival Fire 2.*
Consent*
I understand Life Source Church is not responsible for any lost/stolen properties of my youth.*
Consent*
If my youth has a behavioral issue that requires them no longer being part of the event, I will be responsible to find them a ride home.*
Consent*
In the event that my youth requires medical attention, I give Life Source Church permission to seek medical attention for them.*
Payment
Would you like to pay now or later?

Revival Fire 2 – Gen Z Worship Rally

Parent/Guardian Information

Youth Information

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