FBK 2023-2024

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Student's Name

*

Date of Birth & Year

*

Grade

*

Please select one option.

Nursery 0-2 (For FBK Workers Only) Pre-K (Ages 3-5) Kindergarten 1st 2nd 3rd 4th 5th

Photo/Video Parental Permission --- Permission is acknowledged to use photos/videos on our church website and through social media. Photos/videos will be used exclusively for our church promotional purposes.

*

Please select all that apply.

Yes No

Does child have food allergies or is there anything we need to know?

Parent Name

*

If you have more than one student to register - you only have to fill out the information below one time only.

Parent Email

Phone Contact (# info can be texted to)

Emergency #

Mailing Address

Description

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Please Fix the Following

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