First Baptist Church, Auburndale, FL
Thursday, November 15, 2018
A Place for You with People Who Care!

Registration Form

 
 
REGISTRATION FOR SCHOOL OF FINE ARTS AT
FIRST BAPTIST CHURCH OF AUBURNDALE

Please complete the form below:
 
STUDENT INFORMATION
 
Student's First Name     
Student's Last Name 

Grade     School 
Birth Date    
 
Email Address 
 
Referred By 
 
Address  
 
City     State    Zip 
 
Contact Phone Number 
 
Parent Name 
 
Emergency Name & Phone Number 
 
Student Gender     
 
Member of First Baptist of Auburndale?  Yes or No 
 
Type of Lesson Desired      Private or Group Lesson 
 
We will be calling you to set up a lesson schedule.