FCBC Summer Program-Closed
Our regular registration has closed so all new enrollment will be putting on the waiting list. Please go ahead and register and we will inform you if there is any availability.

Please complete a separate registration entry for each child.

Dates: June 9, 16, 23; July 7, 14, 21, 28; August 4, 11
Time: 7:45pm - 9:30pm
Event Address: Frisco Community Bible Church, 10055 Warren Parkway, Frisco, TX 75035
Contact: Ben Mok, benjimok@yahoo.com

Early Registration (through April 29th) Fee: $35 for FCBC members/$45 for non-members: Closed
Regular Registration (April 30 - May 27) Fee: $45 for FCBC members/$55 for non-members
Late Registration (May 28 - June 17) Fee: $55 for FCBC members/$65 for non-members

Email address
Untitled Title
Parent's First Name
Your answer
Parent's Last Name
Your answer
Phone number
Your answer
FCBC Member?
Child's First Name
Your answer
Child's Last Name
Your answer
Child's grade
Please select the grade your child will enter in the fall
Soccer or Crafts?
T-shirt size for those playing soccer
Allergies
Please list all of your child's allergies and/or health concerns. If there are none, please type "none".
Your answer
Emergency Contact Name & Number
Please provide name and phone number for us to contact if we cannot reach parent listed at top
Your answer
Liability Waiver: I, the undersigned, will not hold the Frisco Community Bible Church, its pastoral staff, deacon board, counselors, or any volunteer leader, responsible in the event of any injury, accident, or emergency involving my child. I understand that it is my responsibility to ensure that my child follows the safety rules and guidelines during the program.
Please type in your full name to agree to the waiver
Your answer
Date
MM
/
DD
/
YYYY
IMPORTANT: Medical / Insurance Information Waiver
Before we continue to the next section, please tell us whether or not you would like to provide Medical / Insurance Information for this registration at this time. In any emergency it is always best to be prepared. I understand that if I choose NOT to provide any medical/health insurance information there may be a delay in getting my child admitted to a hospital in case of emergency.
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