FBC Kids Registration Form
This information will be used to allow us to better minister to you and your family. We will use this to keep you up to date with any activities we may have to better minister to your child's needs.
Child's First Name
Child's Last Name
Date of Birth
Last Grade Completed
Name of Parents
City, State and Zip Code
Does your child have any allergies of medical conditions? If yes, please explain.
In case of an emergency who can we contact? Please give name and number.
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