Home
About
Mission and Vision
What We Believe
Our Story
Our Team
Contact
Connect
Students
Small Groups
Media
Give
Preschool
Faith Kids Care
Upward Registration
Faith Baptist
Preschool Academy
Registration Form
Child Information
Child's First Name
Child's Last Name
Birthdate
Month
January
February
March
April
May
June
July
August
September
October
November
December
Date
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
Year
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
Gender
Male
Female
I'd rather not say
Allergies
Yes
No
List of Allergies
Address
Apartment, suite, etc.
City
State
Zip/Postal Code
Parents Information
Dad's First Name
Dad's Last Name
Dad's Cell Number
Dad's Work Number
Dad's Email
Church
Mom's First Name
Mom's Last Name
Mom's Cell Number
Mom's Work Number
Mom's Email
Church
Other Information
Childcare Provider
Childcare Provider Phone Number
Emergency Contact First Name
Emergency Contact Last Name
Emergency Contact Phone Number
Session Enrolled
Please choose one of the following options for your child:
Small Fry Wed AM
First Step Tues/Thurs AM
First Step Mon/Wed/Fri AM
First Step Tues/Wed/Thurs PM
Pre-K Mon-Thurs AM
Pre-K Mon-Thurs PM
Pre-K Mon-Fri AM
Enrichment M-F AM
<
Back
Next
>
Submit