First Baptist Church, DeRidder
Sunday, September 05, 2010
It's About Love
 
 
Children/Families Ministry Registration
 
Event:
 
Child's/Parents Name:
 
Child's Grade (just completed): Birth- 1yr. old   2-3 yr. old  3-4 yr. old       
                     Pre-school-Kindergarten    1st    2nd    3rd  
                     4th   5th    6th   

Parent/Guardian Name:
 
Address:
 
Phone Number:  
 
Email Address:
 
Emergency Contact Name:
 
Emergency Contact Phone Number:
 
Comments:
 
 
Under Construction