Parent's Name(s) - First & Last (required)

Your Email (required)

Your Phone (required)

Your Mailing Address (required)

City/State (required)

Zip Code (required)

_________

CHILD 1

First & Last Name

Grade

Birthday

School

Special Needs or Allergies we need to know:

_________

CHILD 2

First & Last Name

Grade

Birthday

School

Special Needs or Allergies we need to know:

_________

CHILD 3

First & Last Name

Grade

Birthday

School

Special Needs or Allergies we need to know:

_________

CHILD 4

First & Last Name

Grade

Birthday

School

Special Needs or Allergies we need to know:

_________

CHILD 5

First & Last Name

Grade

Birthday

School

Special Needs or Allergies we need to know:

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By filling out this form, you are agreeing to let your child participate in the activities of Friendly Baptist Church and grant permission for photos and video to be taken of your child and used for church and promotional purpose.
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