Summerdays Pre-Registration

Summerdays

Pre-Registration

Children's Names

First Child's Name:

Grade:

Second Child's Name:

Grade:

Third Child's Name:

Grade:

Parental Information

Parent / Guardian:

Address:

City:

Zip Code:

Home Phone:

Work Phone:

Cell Phone:

E-Mail Address:

Emergency Contact:

Emergency Phone:

Other Information

Medical:

Medical or other information we need to know about your child. Please include any food allergies or special instructions.

Dismissal Information:

Who may pick up your child at the end of each day.

May we have permission to photograph your child?:

Yes

May we have permission to use your child's photograph
in church publications for the purpose of promotion?:

Yes

Order T-Shirts

If you would like to order t-shirts for your children, you may select the quantity and sizes.

Please select the sizes for the children's sized shirts.

First Shirt:

Second Shirt:

Third Shirt:

Please select the sizes for the adult's sized shirts.

First Shirt:

Second Shirt:

Third Shirt:

Please make checks payable to FBC Lawton.

Our Church