On Wednesday, March 20, we are hosting a Fusion After Party where those from Grades 5 - 12 are invited to stay until 8:30pm for some extra game time after Fusion clears out. Students wanting to join us can hop on the bus at 6:30pm and can be picked up at 8:30pm at the church. If a ride home in a problem, please indicate it below so that we can arrange a drop-off.

Parent/Guardian Information
Name *
Primary Phone Number *
Primary Phone Number
First Child's Information
Child's Name
Child's Name
Doctor's Information
Doctor's Name *
Doctor's Name
Second Child's Information
Child's Name
Child's Name
Third Child's Information
Child's Name
Child's Name
Fourth Child's Information
Child's Name
Child's Name
Release of Care
Keeping your child safe is our number one priority at CFT. According to our Plan to Protect Policy your signature releases the care of your child(ren) to Centralia Faith Tabernacle from the time they are dropped off at the designated location until you pick them up or they are dropped off at home. Once they are picked up or dropped off they are released back into your care. Please be aware that it is our policy for your child to never be alone with a volunteer behind any closed doors or in vehicles. If you give permission for your child(ren) to walk or bike, written consent from you is required before we can release them to leave the church property. If you have someone other than a parent picking your child(ren) up, please let us know in advance. We will not release your children to anyone but the parents/guardian without your permission. This consent recognizes that all reasonable precautions will be taken to prevent accidents or injuries. Permission is given to allow supervision to seek emergency medical treatment. I have read and understand Release of Care Policy above and I hereby acknowledge on behalf of my son/daughter to absolve the church for any liability whatsoever. It also recgonizes that I am allowing CFT to use the information provided to contact me regarding my child and their involvement with CFT Youth Impact.
Privacy Policy
Any personal information given will not be used or disclosed except for the purpose of the Youth program at Centralia Faith Tabernacle. Pictures and/or names of children may be used for the purpose of promotion, celebration and to give information both in-house and on our social media sites. To protect the privacy of our children, no names will be listed or tagged by CFT. Email will be used strictly for informational purposes informing about upcoming events, cancellations, or changes occurring in the youth program.
Consent *
Ride Home *
Media Consent *
By typing your name and submitting this form you are agreeing to all of the policies listed above.