PC Midweek Preschool & Kids Registration PARENT FORM
Central Baptist Church Paragould Campus
Midweek Registration for Preschool & Central Kids 2025
WEDNESDAYS @ 6:15-7:30
(Drop off begins at 6:00)
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
Entering your mobile phone will opt you in for receiving occasional updates (freq may vary) via text message. Reply STOP at any time to opt out. Reply HELP for more information. Message and data rates may apply.
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* Email
* Address
* City
* State/Province
* Zip/Postal Code
* May we have permission to photograph your child?
Select one
Yes
No
* Which class will you (the Parent) be attending?
NOTE: Click CONTINUE then OK for CHILD FORM
- CHILD Form is next
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