First Arts SPARK (Preschool) Registration, Fall 2022
OPEN TO PRESCHOOLERS WHO TURN 3 YEARS OLD BY July 31, 2022 - PRE-K


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Email *
Preschooler's Name *
Parent/Guardian's Name(s) *
Street Address *
City *
State *
Zip Code *
Parent/Guardian Phone *
Preschooler's Age *
Preschooler's Birthdate *
MM
/
DD
/
YYYY
Known Allergies? *
Additional Medical Conditions/Concerns? *
Potty trained? *
If you answered "No" to potty trained, please explain tolieting needs.
Parental Permission for Photos: First Baptist Church of Lee's Summit has my permission to use my or my child's photograph publicly. I understand that the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use. * *
In my absence, FBCLS has my permission to seek emergency medical attention for the child listed above. *
A copy of your responses will be emailed to the address you provided.
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