Kindergarten Application - First Baptist Roswell

To ensure class availability, please contact us at (770) 587-6991 or kindergarten@fbroswell.org before submitting your registration fee.

Registration Fee (Nonrefundable): $100.00 (second child - $75) – All ages and classes.

A thirty (30) day notice must be given upon withdrawing your child or a month’s tuition must be paid.

Please enter information about your child.

Class *

Days *

Applicant First Name *

Applicant Last Name *

Preferred Name

Sex *

Date of Birth *

Month *

Day *

Year *

Street Address *

Apartment, suite, etc

City *

State *

ZIP Code *

Home Phone *

Emergency Phone *

Email Address *

Parents / Guardians

First Name *

Last Name *

Relationship *

Marriage Status (if applicable)

Siblings (18 Years and Under)

First Name

Last Name

Relationship

Date of Birth

Month

Day

Year

Living SituationIf the student lives with anyone other than the listen parents or guardians, please explain.

Doctor

Name *

Phone *

Allergies

Handicaps

Church Membership or Affiliation

Your Name *

Signature *