EFL REGISTRATION

CHILDREN'S PROGRAM - BIRTH-5th GRADE

Reservation Deadline: ______. After this date, please email margie@coppellbible.org to confirm availability.
Number of children being registered for Children's Program *
1st Child's Name *

First Name Last Name
1st Child's Date of Birth *

- Month - Day Year
2nd Child's Name *

First Name Last Name
2nd Child's Date of Birth *

- Month - Day Year
3rd Child's Name *

First Name Last Name
3rd Child's Date of Birth *

- Month - Day Year
4th Child's Name *

First Name Last Name
4th Child's Date of Birth *

- Month - Day Year
5th Child's Name *

First Name Last Name
5th Child's Date of Birth *

- Month - Day Year
CHILDCARE POLICIES
CLICK HERE FOR CBF'S CHILDCARE POLICIES
Initial here that you have read and accept the CBF Childcare Policies *

CLASS REGISTRATION
How would you like to pay? *

NOW with debit/credit card or by PayPal LATER by check/cash ($25 due at first class)

EFL Registration Fee $ 25.00

Total $ 0.00

Payment Method

	What is PayPal?

ENGLISH FOR LIFE REGISTRATION