FCC Kids Online Registration — Free Christian Church

ONLINE REGISTRATION

Parent Info

Name

First Name

Last Name

Email

Phone

(###)

###

####

Address

Name

First Name

Last Name

Email

Phone

(###)

###

####

Address

Child One

Child Name, Date of Birth & Grade (as of Sept 1st)

Permission to dismiss without a parent?

Yes

No

Concerns and Allergies:

Child Two

Child Name, Date of Birth & Grade (as of Sept 1st)

Permission to dismiss without a parent?

Yes

No

Concerns and Allergies:

Child Three

Child Name, Date of Birth & Grade (as of Sept 1st)

Permission to dismiss without a parent?

Yes

No

Concerns and Allergies:

Child Four

Child Name, Date of Birth & Grade (as of Sept 1st)

Permission to dismiss without a parent?

Yes

No

Concerns and Allergies:

Please add information for any more children here:

Thank you for registering your child for FCC Kids! Please bring a signed permission form with your child to the next FCC Kids event.