First Baptist Church, Auburndale, FL
Friday, July 21, 2017
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 
 
Email Address 
 
Referred By 
 
Address  
 
City     State    Zip 
 
Contact Phone Number 
 
Parent Name 
 
Emergency Name & Phone Number 
 
Student Gender     Student Birthdate 
 
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.