PC Midweek Preschool & Kids Registration PARENT FORM
Central Baptist Church Paragould Campus
Midweek Registration for Preschool & Central Kids 2025
This
registration has 2 parts:
1. Parent Form
2. Child Form
(
ALL ages
birth thru 6th grade
must be registered.
)
Registration is complete when
both
parent and child
forms are submitted
.
Please fill out this form
as YOU the PARENT or guardian.
* First Name
* Last Name
* Birth Date
* Mobile Phone
* Email
* Address
* City
* State/Province
* Zip/Postal Code
* May we have permission to photograph your child?
Select one
Yes
No
NOTE: Click CONTINUE then OK for CHILD FORM
- CHILD Form is next
Add Another Person
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