FBC Day School Pre-registration form

Fall 2019 - 20

Registration forms must be accompanied by a $50 non-refundable deposit (turn in or mail to day school office) in order to hold a spot for the upcoming school year.

Please complete following information. We will get in touch with you shortly. Thanks!

Today's Date

YYYY

Child's Full Name

First Name

Last Name

Name Called

First Name

Last Name

Age as of Sep. 1st 2019

Sex

Date of Birth

YYYY

Name of Parent/Guardian with whom child lives

Mailing Address

Please Include City, State, and Zip Code

Enter your Email address

Primary Number (Please enter digits only i.e 8437434193)

Work Number

Other Number

Church Affiliation

Child's Age Group

Comments/Special needs

I understand this form is incomplete without a payment of a $50 non-refundable registration fee

Type of Care

Add Early & After Care to part time

Day School Application

FBC Day School Pre-registration form