Fall Registration Form - Children & Youth
Complete one Registration Form per student/child. By filling out this form, your student/child will be registered for the 2023-24 Children/Youth ministries that you choose below. Visit fbcmedford.com for ministry details. If you have any questions, please contact the FBC Office at office@fbcmedford.com or (715) 748-4936.  

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Email *
STUDENT INFORMATION
Student's First Name *
Student's Last Name *
School *
Student's Birthdate *
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/
DD
/
YYYY
Gender *
School grade entering *
Select all ministries this student/child is registering for: *
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