Fredericktowne Baptist Church Christian Service Brigade Unit #8031
Youth Registration Form for 2020-2021 Battalion - 7th to 12th Grade & Stockade - 3rd to 6th Grade
Child's Name:
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Brigadier's E-mail: (Optional)
example@example.com
Birthdate:
Grade:
Father's Name:
First Name
Last Name
Father's Phone Number:
-
Area Code
Phone Number
Mother's Name:
First Name
Last Name
Mother's Phone Number:
-
Area Code
Phone Number
In Case of Emergency Call:
-
Area Code
Phone Number
Contact E-mail:
example@example.com
Church Affilation:
Special Needs - Allergies - Medical Conditions:
Type a question
Supplies for 2021 - 2022 Year
Supplies:
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Dues & Crafts/Supplies Annual Fee (Required)
$
60.00
Battalion Book: Adventure Trails
$
15.00
Battalion Book: Leadership (Optional)
$
19.00
Battalion New Uniform Shirt with Basic Patches
$
32.00
Battalion Used Uniform Shirt with Basic Patches (if available)
$
15.00
Stockade Book: Builder 1
$
11.00
Stockade Book: Builder 2
$
11.00
Stockade Book: Sentinel 1
$
11.00
Stockade Book: Sentinel 2
$
11.00
Stockade New Uniform Shirt with Basic Patches and Unit Number
$
27.00
Stockade Used Uniform Shirt with Basic Patches and Unit Number (if available)
$
15.00
Total
$
0.00
Credit Card
Submit
Shirts, in good condition, can be returned for a $15.00 refund.
Should be Empty:
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