Divorce Care for Kids Registration
Time : 6:00 p.m.
Location: FBC Balcony Rm. 615
Contact: singlesministry@firstbaptistnet.com
Child's Name\Age\Grade\Birth Date *
Your answer
Allergies? Please describe
Your answer
Street Address *
Your answer
City, State, Zip *
Your answer
Email *
Your answer
Home Phone\Cell Phone *
Your answer
Name and relationship of person child lives with *
Your answer
How did you hear about Divorce Care for Kids
Your answer
If you plan on bringing children to our childcare, please list their names, gender, ages, and present school grades.
Your answer
Registration Fee TBD *
Required
Registering parent or guardian signature *
Your answer
Date of form submission *
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