FCFFCU Banzai Youth Center Form Ages 0-5 and 6-12

By submitting this form as the parent, guardian, or adult relative of the minor, you confirm that the minor has completed all required modules for their age group. Once submitted, the form will be reviewed, and the $10 reward will be deposited into the minor’s FCFFCU savings account by May 15, 2026. Limit of one reward per FCFFCU minor member.
1.What age group modules did you complete?(Required.)
2.FCFFCU Youth Member Name
3.If you are completing either of the modules above for an additional child, please list their name(s) and age group below.
4.Parent/Guardian Name
5.Phone Number