Fuel Registration Form Teen's Information Parent or Legal Guardian's Information Does your child have any allergies or medical conditions we should be aware of? —Please choose an option—YesNo If yes was selected, please fill in the information in the box below Please provide 3 emergency contact names & numbers. Who can pick you child up from church? Does your child need the church van to bring him/her to or from church? (required) —Please choose an option—YesNo Would you allow your child to come to our church on Sunday mornings? —Please choose an option—YesNo Do you attend a church? —Please choose an option—YesNoSometimes Can we photograph your child? Pictures may be used on the church's website, Facebook, and in other promotional materials associated with Hessmer Baptist Church. —Please choose an option—YesNo