FBB Kids Registration

FBB Kids 2023-2024 Registration Form

*Please fill out one form per child*

Child's Name

First Name

Last Name

Child's age/grade

Child's Birthday

Medical Conditions

If your child has no medical conditions type “none”

Parent/Guardian Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent Phone Number

(###)

###

####

Parent Email

Individuals authorized to pick up child from FBB Kids

Signature

By typing your name here you are giving First Baptist Bonifay consent to contact your child by a home visit, written communication or phone call to discuss club activities.

First Name

Last Name

First Baptist Bonifay

311 N. Waukesha Street Bonifay, FL 32425

(850) 547-2420