TheRise Registration Student registration application for TheRise Youth Conference 2020. Parent Tickets can be bought at the door for $30. Student Contact InformationName* First Last Parent or Guardian Email* Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Parent / Guardian Phone*Student's PhoneCan the student receive text messages? Yes No Student's Email Student InformationMember of FBCL? Yes No Member of Another Church?Student is a Guest of:Age*Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender*MaleFemaleStudent's SchoolGrade LevelT-Shirt SizeSmallMediumLargeXL2XL3XLRelease Agreement, Image Waiver, & Time Away FormsDownload the Parent Packet and release forms below. Upload the completed forms using the field below. The Time-Away form is only for those students that will be leaving theRise early. Your registration is not complete until these waivers have been successfully submitted either below or in-person. Student Registration FormForm UploadPlease upload your completed forms here. Drop files here or Accepted file types: jpg, gif, png, pdf, doc, docx. Registration FeesRegistration for The Rise is $75 per applicant. **If you have credit available, select "Other" and you will be asked to input an amount. Please verify your credit with Vickie Brewer in the Church Office at (903) 212-3306. If you are selecting "Pay In-person", please contact Vickie Brewer once you have submitted your form. Registration Fee*All online payments will be processed via PayPal. Parent Tickets can be bought at the door for $30.$65.00 RegistrationOther (**Only for students with Credit Available)Pay In-PersonTotal Amount Due (Less Your Available Credit) *This field is only for students applying credit from their FBCL account.EmailThis field is for validation purposes and should be left unchanged.