I Am Registering for: *

Sunday School (Sundays @ 9:45 AM)

Wise Guys (Tuesday Nights)

Special Needs Wise Guys (Sunday Nights)

Child's Name *

First Name

Last Name

Parent/Guardian *

First Name

Last Name

Parent/Guardian Phone Number *

(###)

###

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Other/Emergency Contact

First Name

Last Name

Other/Emergency Phone Number

(###)

###

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Child Birthdate *

MM

DD

YYYY

Gender

Male

Female

My child may have an occasional snack or treat. *

Yes

No

Bus transportation *

I would like my child to ride the bus to & from Wise Guys if available in my area.

Yes

No

COVID-19 Risk Acknowledgment *

By checking this box, and by signing my name below, I acknowledge that the virus known commonly as COVID-19, as well as other contagions, pose a real health risk. I acknowledge that the practice of social-distancing policies, the wearing of face-masks, and the continuity of cleanliness guidelines are neither practical, nor are they possible to maintain amongst children and teens; and therefore, that the above named child/teen attends the Wise Guys program/FYI Teen Group at their own risk. I will hold Faith Baptist Church, its employees, staff, volunteers, teachers, assistants, workers, other children, other teens, or any other person, harmless in the event that my child/teen contracts COVID-19, or any other communicable disease, while attending the programs of Faith Baptist Church.

I AGREE

Legal Signature *

By checking the "I AGREE" box above, and by entering your name here, you attest that you are the legal parent or guardian of the above named child/teen, and that you are at least 18 years of age. Deliberate misrepresentation, or false attestation, is subject to legal action.

First Name

Last Name