Wednesday Night Registration
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Child's Name *
Your answer
Grade *
Your answer
School *
Your answer
Birth Date *
MM
/
DD
/
YYYY
Allergies *
Your answer
Parent's Name *
Your answer
Address *
Your answer
Parent's Phone Numbers *
Your answer
Parent's Emails *
Your answer
Emergency Contact *
Name, Relationship, And Phone Number
Your answer
Field Trip Permission Slip *
I authorize the First Baptist Church of Rockwall volunteers to transport my child to off campus field trips
Photography Release *
I authorize the First Baptist Church of Rockwall volunteers to photograph my child for media purposes.
Medical Consent & Release *
In the event of an emergency, I authorize the First Baptist Church of Rockwall staff to make emergency medical decisions for my child and I understand that my insurance coverage will be the primary coverage.
Shirt Size *
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