Child Name *

First Name

Last Name

Grade Completed *

Pre-K

K

1st

2nd

3rd

4th

5th

6th

Parent/Guardian Name *

First Name

Last Name

Need a Ride:

Yes

No

To Church:

Yes

No

To Home: *

Yes

No

I give First Baptist Church permission to transport my child on a church vehicle, and will hold First Baptist Church harmless for all liability for harm to a minor. *

Yes

No

I give First Baptist Church permission to take pictures of my child for craft projects, slide show, and Social Media. *

Yes

No