KIDS' CHURCH Registration–Grades P3 & K4 (PRESCHOOL) 2024-25

Please take a few minutes to fill out this Preschool Registration form for each child who will be age 3 by September 1, 2024 through those entering a K4 program this fall. We update our records yearly and use this information to determine class size.

Preferred Service

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9:00 AM 10:30 AM

Child Information

Name

Got a favorite nickname for your little one? Pop it down here and we'll make sure to use it!

Nickname

How old?

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2 - turning 3 by Sept 1, 2023 3 4 5

Birthdate

Grade as of September 1, 2024

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P3 K4

PARENT / GUARDIAN CONTACT INFORMATION

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

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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)

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

Please select one option.

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

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.

If you have more children to sign up, please click SUBMIT below and select one of the registration links; P3/K4 Preschool or K5-6th grades.

KIDS' CHURCH Registration–Grades P3 & K4 (PRESCHOOL) 2024-25

Description

Please Fix the Following