Completion of this form does not guarantee a spot in our program. You will be notified when a spot becomes available for your child.
Are you interested in joining our School Year or Summer program?:
*List two emergency contacts (name and phone number), other than parents::
*Are child's immunizations up to date?:
*Does child have any know allergies? If yes, please list below::
*Does child have any physical limitations/problems? If yes, please list below::
*Other persons who may pick up your child from Fellowship Friends are::
*Throughout the year, we will take pictures of your child individually and in groups while participating in preschool activities. These photographs will be used for class activities and crafts and may be displayed in the classroom or in brochures or other marketing material for Fellowship Friends. Your child will not be identified by name in any marketing materials.
I give permission for my child to be photographed and placed on the Fellowship Friends Facebook page or in other marketing material.
*I understand I have to give a 2 week written notice before dropping and agree to pay all fees due. I hereby release this Parents Day Out and Fellowship Bible Church from liability and I authorize emergency medical care for my child if I am unable to be contacted.