Event Registration Form
Bible Baptist Church
Attendee Information
Please fill name, date of birth, and school grade for all children attending. You may register up to four children per form.
Parent’s Name
*
First Name
Last Name
Child #1 Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
School Grade
*
Please Select
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Child #2 Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
School Grade
Please Select
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Child #3 Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
School Grade
Please Select
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Child #4 Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
School Grade
Please Select
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
example@example.com
Would you like to receive information about future upcoming events?
Yes
No
Submit
Should be Empty: