4210 Limestone Road Wilmington, Delaware 19808
(302) 998-4105
New here?
Visit Us
Hispano
Services and Activities
What to Expect
Experience Hope
Information For Parents
About Us
Meet Our Pastors
Our Beliefs
Mission Statement
History
Get Involved
Children
Preschool
Cubbies
Faith Kids
Vacation Bible School
Youth/Student
Young Adults
Adults
Adults Life Groups
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Women
Sr. Adults
Sunday School
Hispanic Ministries
Missions
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Resources
Sermons
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Child/Youth Registration
Permission Slips
Who to Contact?
Hispano
Hispano
¿Qué Esperar?
Horario de Servicio
Información para Padres
Calendar
Give
Contact
Contact Us
Meet Our Pastors
1
Parent
2
Children
3
Emergency Contact
4
Authorization
Parent / Guardian Information
Parent/Guardian
*
First
Last
Address
*
Street Address
Address Line 2
City
Alabama
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Delaware
District of Columbia
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Armed Forces Americas
Armed Forces Europe
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State
ZIP Code
Cell Phone
*
Home Phone
Email
*
Church You Attend (if applicable)
Legal Release
I (we), by signing this release, do hereby agree to the following: In the event of an accident or injury occurring on the premises of Faith Baptist Church, to myself (ourselves) and/or anyone else under my (our) care, control, or custody, do hereby agree to hold Faith Baptist Church and its insurance company free and harmless and to present no claim for damages against Faith Baptist Church or its insurance company.
Name
*
First
Last
How many children are you registering?
1
2
3
4
5
What are you registering for?
*
Vacation Bible School
Awana Cubbies (3 & 4 year old)
Awana Sparks (KG - 2nd grade)
Awana TNT (3rd - 6th grade)
Youth Group
Youth Volunteer
Sunday School
Faith Kids
Nursery
Child #1
Name
*
First
Last
Gender
*
Male
Female
Date of Birth
*
Month
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Entering Grade
*
Pre-K
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Medical Information
Please list any allergies, disabilities, or other medical conditions we should be aware of. Include symptoms, medications, and restrictions.
What medications, with instructions, do you want us to hold for your child?
Medication Permission
Yes
No
If applicable based on your instructions above, do we have your permission to provide medications if needed?
Travel Permission
Yes
No
I give permission for my child/children to travel with the church to offsite events.
Photo Permission
Yes
No
I give my permission for my child’s picture or digital image to be used for church promotional purposes.
Child #2
Name
*
First
Last
Gender
*
Male
Female
Date of Birth
*
Month
1
2
3
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5
6
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12
Day
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Year
2020
2019
2018
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1921
1920
Entering Grade
*
Pre-K
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Medical Information
Please list any allergies, disabilities, or other medical conditions we should be aware of. Include symptoms, medications, and restrictions.
What medications, with instructions, do you want us to hold for your child?
Medication Permission
Yes
No
If applicable based on your instructions above, do we have your permission to provide medications if needed?
Travel Permission
Yes
No
I give permission for my child/children to travel with the church to offsite events.
Photo Permission
Yes
No
I give my permission for my child’s picture or digital image to be used for church promotional purposes.
Child #3
Name
*
First
Last
Gender
*
Male
Female
Date of Birth
*
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
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31
Year
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
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1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
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1978
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1972
1971
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1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Entering Grade
*
Pre-K
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Medical Information
Please list any allergies, disabilities, or other medical conditions we should be aware of. Include symptoms, medications, and restrictions.
What medications, with instructions, do you want us to hold for your child?
Medication Permission
Yes
No
If applicable based on your instructions above, do we have your permission to provide medications if needed?
Travel Permission
Yes
No
I give permission for my child/children to travel with the church to offsite events.
Photo Permission
Yes
No
I give my permission for my child’s picture or digital image to be used for church promotional purposes.
Child #4
Name
*
First
Last
Gender
*
Male
Female
Date of Birth
*
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
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11
12
13
14
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27
28
29
30
31
Year
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
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1959
1958
1957
1956
1955
1954
1953
1952
1951
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1949
1948
1947
1946
1945
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1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Entering Grade
*
Pre-K
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Medical Information
Please list any allergies, disabilities, or other medical conditions we should be aware of. Include symptoms, medications, and restrictions.
What medications, with instructions, do you want us to hold for your child?
Medication Permission
Yes
No
If applicable based on your instructions above, do we have your permission to provide medications if needed?
Travel Permission
Yes
No
I give permission for my child/children to travel with the church to offsite events.
Photo Permission
Yes
No
I give my permission for my child’s picture or digital image to be used for church promotional purposes.
Child #5
Name
*
First
Last
Gender
*
Male
Female
Date of Birth
*
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
7
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10
11
12
13
14
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17
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25
26
27
28
29
30
31
Year
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Entering Grade
*
Pre-K
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Medical Information
Please list any allergies, disabilities, or other medical conditions we should be aware of. Include symptoms, medications, and restrictions.
What medications, with instructions, do you want us to hold for your child?
Medication Permission
Yes
No
If applicable based on your instructions above, do we have your permission to provide medications if needed?
Travel Permission
Yes
No
I give permission for my child/children to travel with the church to offsite events.
Photo Permission
Yes
No
I give my permission for my child’s picture or digital image to be used for church promotional purposes.
Extra Adult Emergency Contact
In case of emergency, accident or illness, reasonable efforts will be made to contact the parent/guardian. Please provide the emergency contact of a relative or friend to contact if you cannot be reached. Please advise them that you have put their name on this form. Please advise us of any changes throughout the year.
Name
*
First
Last
Relationship
*
Cell Phone
*
Home Phone
Authorized Sign-Outs
Please list the names, relationships & phone numbers of the ADULTS (age 18 or older) authorized to sign your children (age 6 and under) out of FBC ministries. Any changes in sign out authorization need to be made at the time, or before, your child is dropped off.
Name
Relationship
Phone Number
Name
Relationship
Phone Number
Name
Relationship
Phone Number
Name
Relationship
Phone Number
Authorization
Your Name
First
Last
New here?
Visit Us
Hispano
Services and Activities
What to Expect
Experience Hope
Information For Parents
About Us
Meet Our Pastors
Our Beliefs
Mission Statement
History
Get Involved
Children
Preschool
Cubbies
Faith Kids
Vacation Bible School
Youth/Student
Young Adults
Adults
Adults Life Groups
Men
Women
Sr. Adults
Sunday School
Hispanic Ministries
Missions
Music & Worship
Resources
Sermons
Bulletins
Membership Application
Child/Youth Registration
Permission Slips
Who to Contact?
Hispano
Hispano
¿Qué Esperar?
Horario de Servicio
Información para Padres
Calendar
Give
Contact
Contact Us
Meet Our Pastors