Burlington Baptist Church NBA Registration 2022-2023

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please fill out this form to register students for our Sunday Night NBA Program starting Sunday, September 11!

Child's Name *

Parent/ Guardian Name *

Address *

Cell Number 1 *

Child's Birth Date

YYYY

Permission to Photograph? *

Yes

Last Grade Completed *

Medical Information: any medical or other information we need to know. Please include food allergies.

Emergency Contacts (Other than listed above. Please include name and phone number)

Dismissal Information: Who may pick up your child, other than those listed above?

Does your child attend church? If so, where? *

IF AVAILABLE, my child needs to ride the van. Burlington Baptist Church is still in the process of deciding what van routes, if any, will be run this year. If van transportation is available, parents will be contacted by September 11 and will need to sign a permission slip before students are allowed to ride the van. *

Yes

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms