Name of Student *

First Name

Last Name

Cell # of Parent/Legal Guardian *

(###)

###

####

Please Check All That Apply *

I give permission for student to attend the paintball trip on Sunday, September 18th with Fusion Youth and to be driven by an adult or parent from Fusion Youth.

I agree to pay $45 (You can pay by Cash, Checks written out to Fusion Ministry, or Venmo@fusionstudentministry and call it “Sr. High Paintball”).

I will fill out the waiver from Crossfire Paintball online. (You will be redirected to the link to the waiver once you hit send!)