KIDS' CHURCH Registration–GRADES K5-6th (ELEMENTARY) 2024-25

Please take a few minutes to fill out this registration form for each child who will be entering K5 through 6th grades as of September 1, 2024. We update our records yearly and use this information to determine class sizes.

Even if you have not changed any information from last year’s form, we ask that you please fill out and submit this one for the upcoming year. Thank you.

Preferred Service

Please select one option.

9:00 AM 10:30 AM

Child / Children Information

Name

Please enter below their grade as of September 2024.

Grade

Please select one option.

Kindergarten 1st 2nd 3rd 4th 5th 6th

Birthdate

How old?

Please select one option.

4 5 6 7 8 9 10 11 12 13 14

PARENT / GUARDIAN CONTACT INFORMATION

Is the Parent/Guardian or Significant Other a Member of FPLC?

Please select all that apply.

Yes No, but want to become a Member Not sure, please check and let me/us know

Primary Parent / Guardian - first and last name

This address will receive a confirmation email

Mobile

Address

Have you moved to a new address within the past 2 years?

Please select one option.

yes no

Other Parent / Guardian / Emergency Contact- first & last name

Email (other)

Mobile (other)

Address (other - if different from primary)

Do you have any concerns you would like our Director of Children's Ministries to know about or contact you about? Please let us know below.

Do you have more kids to register?

If you have more children to sign up, please click SUBMIT below and select one of the registration links.

Description

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