Children's After-School Christian Formation and Music Programs Registration and Release
Programs for Pre-K through 3rd graders will be Tuesdays, beginning September 14th, ending weekly at 5pm. Programs for 4th-6th graders will be Wednesdays, beginning September 15, and ending weekly at 5:45pm.
Van transportation from area schools will be provided based on demand.
There is no charge to participate.

For more information or for questions, contact
Child's Last Name *
Child's First/Preferred Name *
Child's School *
Child's Grade for 2021-2022 *
Child's Date of Birth (Participating children must be 4 years of age by 8/31/2021) *
Child's Primary Street Address *
Child's City *
Child's ZIP Code *
Parent/Guardian 1 First Name *
Parent/Guardian 1 Last Name *
Parent/Guardian 1 Email Address *
Parent/Guardian 1 Cellular Number *
Parent/Guardian 2 First/Preferred Name Name (Optional)
Parent/Guardian 2 Last Name (Optional)
Parent/Guardian 2 Cellular Number
Father's/Guardian 2's Email Address
Does your child participate regularly in the ministries of a church other than First Baptist, Henderson? (please list church) *
Does your child have any medical conditions, food allergies, or other needs of which we should be aware? *
Is there anything else you'd like us to know that would help us make after-school programs at First Baptist a positive experience for your child? *
My child has my permission to participate in the Children’s Ministry programs and to ride the church vans of the First Baptist Church for all activities of the Children’s Ministries for the 2021-2022 school year. I also understand that any indoors activities or van rides will require that all students and adults be masked. In the event of a medical emergency, if I cannot be reached, I grant authority for the instructors and chaperones of the First Baptist Church to seek medical treatment for my child, and I realize that any such treatment will be covered by my own insurance or at my own expense. I also allow photos of my child taken during church programming to appear in First Baptist publications. [Indicate acceptance by typing the full name of the parent/guardian completing this form] *
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