PFBC Otter Creek Trip Bus Sign Up

1
General Information

This is for youth (completed grades 6-12) only.

The PFBC bus will be leaving the Xchange at 4PM on June 2, 2022. We will be back around 8:30 PM. We will stop at Chick-Fil-A in Cherrydale on the way to Otter Creek. Please send money with your youth for Chick-Fil-A. There is no cost for Otter Creek.

Students should dress appropriately for both Chick-Fil-A and Otter Creek.

Students should bring a change of clothes for the ride back from Otter Creek. They should also bring sunscreen and towels.
2
Parent Name* This field is required.
First Name
Last Name
3
Parent Email* This field is required.
example@example.com
4
Parent Phone Number* This field is required.
Please enter a valid phone number.
5
Youth Name* This field is required.
First Name
Last Name
6
Youth Date of Birth* This field is required.
Date
Year
Month
Day
7
My Youth Will be Riding the Church Bus* This field is required.
YESNO
8
Terms and Conditions* This field is required.
Should be Empty: