I Am Registering for: *

Sunday School (Sundays @ 9:45 AM)

WordWise Kids (Tuesday Nights)

Child's Name *

First Name

Last Name

Parent/Guardian *

First Name

Last Name

Parent/Guardian Phone Number *

(###)

###

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Other/Emergency Contact

First Name

Last Name

Other/Emergency Phone Number

(###)

###

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Child Birthdate *

MM

DD

YYYY

Gender *

Male

Female

My child may have an occasional snack or treat. *

Yes

No

Bus transportation *

I would like my child to ride the bus to and from Faith Baptist Church, if available in my area.

Yes

No

Legal Signature *

By checking the "I AGREE" box above, and by entering your name here, you attest that you are the legal parent or guardian of the above named child/teen, and that you are at least 18 years of age. Deliberate misrepresentation, or false attestation, may be subject to legal action.

First Name

Last Name