Boys Brigade Registration

Child Information

Child's Name*

First Name

Last Name

School

Grade*

Birth Date*

T-Shirt Size

Allergies/Medications

Please compete the below fields for the adult who intends to participate with the child listed above.

Participating Parent / Guardian's Name*

First Name

Last Name

Relationship to Child*

How do you intend to participate with your child?*

Phone*

best to reach on Wednesday evenings

Email*

Address

Address Line 1

Address Line 2

City

State

ZIP Code

How did you hear about Boys Brigade at Faith Bible Church?

I understand that a Waiver that will be provided after registration and will be required to complete in order to participate in Boys Brigade.*

Yes

Registration Date