MBC Kids Info Sheet
Please fill out this form and click submit.
Child Information
Name
*
Gender
*
Please select one option.
Male
Female
Birthdate
*
Grade
*
School District
*
Homeschool
*
Please select one option.
Yes
No
Allergies
*
Parent/Guardian Information
Parent's Name
*
Parent's Sunday School Location
*
Parent's Wednesday Evening Location
*
Phone
*
Email
*
This address will receive a confirmation email
Emergency Contacts/ Individuals authorized to pick up your child
*
Emergency Contact Phone
*
I give my permission to use photos/video of my child for MBC promotional material.
*
Please select all that apply.
Yes
No
Submit
Description
Please fill out this form and click submit.
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