Author: Sandy Roberts

First Baptist Church
Richmond, Texas
Registration Form
September 2020 – May 2021
Child’s Name: _________________________________________________
Parent’s Name: _________________________________________________
Child’s Date of Birth: ____________________________________________
Mailing Address: ________________________________________________(address)
________________________________________________(city/zip)
Phone Number:_________________________________________________________
Cell Phone Number: Mom_________________________Dad______________________
Email: ________________________________________________________________
____________ Application Fee: $75 for first child
Each additional child: $50 Paid (check # _____)
Application Fee is Non-Refundable
____________ Registering for Kindergarten: Tuesday– Thursday ($325/month)
Special Requests and/or Comments:
__________________________________________________________________________________________
__________________________________________________________________________________________

John D. Lockhart, Pastor
F I R S T B A P T I S T C H U R C H
502 South Fifth Street – Richmond, TX 77469 – Phone 281-342-8664; MDO - 281-342-7729
www.fbcrichmondTX.org
ashley@fbcrichmond.net