Register Kids & Students

FBCC KIDS &
Student Ministries
Connection Form

Please Register for our Church Records

Child's First Name

Child's Last Name

Parent/Guardian Name

Parent/Guardian's Email

Parent/Guardian's Phone

Child's Date of Birth

Does your child have any known allergies including food or environmental? Or any other medical conditions that we need to be aware of?

Please provide any more information that we can support you as a parent with your child?

I agree to the terms & conditions I, the parent or legal guardian of the participants, acknowledge that participation in FBCC Kids and/or FBCC Glory Bound Youth Ministries may involve the risk of exposure of other minor's illness or risk of injury during physical activities. I further acknowledge that these ministries is primarily administered by screened & background checked volunteers of FBCC. I hereby release, the Church staff, its volunteered workers, sponsoring organizations, and other representatives from any claims arising out of or related to any physical injury or unknown exposed illness that may occur to the said individuals while participating in this ministry.

FBCC KIDS & Student Ministries Connection Form

Please Register for our Church Records

FBCC KIDS &
Student Ministries
Connection Form