North Naples Baptist Church
Wednesday, September 08, 2010

Activity Registration Form

   
North Naples Baptist Church
Activity Registration Form
 
Please enter your information into the form below and press the Submit button at the bottom to send it to Gayle@nnbc.net
 
 
What activity are
you registering for?
   
Child's Name:
Birth Date:
Age:
Grade:
T-Shirt Size:
Address:
City:   State:       Zip code:

Parent/Guardian:
Home Phone:   Cell Phone: 
Email:

Emergency Contact:
Home Phone:   Cell Phone: 
Relationship to child:

Medical Information
Food Allergies

Others authorized to pick up child:
 
Church Information:
 
     Are you a current member of North Naples Baptist Church? Yes   No
 
     Are you a visitor to North Naples Baptist Church? No  Yes       If yes, guest of?
 
     Do you have a church home? Yes  No     If yes, where?
 
 
Once you have entered the information, press to send the information.
 
Thanks!