Exit FBC Wednesday Night Kids Registration Question Title * 1. Child’s name Question Title * 2. Child’s Current Grade Question Title * 3. Parent’s Name(s) Question Title * 4. Parent’s Cell Number Question Title * 5. Does your child have any allergies? If so, please specify. Question Title * 6. If child will be dropped off or picked up by anyone other than parents, please include person’s name and cell phone number. Question Title * 7. Occasionally our Wednesday night groups leave the church campus to go on mission projects (visit retirement home, paint ornaments at FRAC, Christmas caroling, etc.). Group leaders will give you more detailed information before trips. Does your child have permission to accompany their groups on such trips? Yes No Question Title * 8. Additional children’s name and grades (ex. John Doe, 5th) Question Title * 9. Is your child potty trained? Yes No Done