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Home Page
About Us
Our Staff
Meet the Pastor
Driving Directions
Calendar
Ministries
Children's Clothing Closet Ministry
Preschool
Registration Info for 2023-24
Online Enrollment & Registration 2023-24
Preschool Calendar
Physical Exam Form
Giving
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Preschool Play Day Registration
CLEMMONS FIRST BAPTIST PRESCHOOL
PO Box 279
CLEMMONS, NC 27012
*
Indicates required field
Child's Name (Last, First, Name Used)
*
Sex
*
Male
Female
Date of Birth
*
Age
*
Parents'/Guardians' Names
*
Street Address
*
City, State, Zip Code
*
Home Phone #
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Cell Phone #
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E-mail address
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Food Allergies?
*
Numbers and names to call if your child becomes sick or in case of emergency during Preschool hours.
1. Phone #, Name and Relationship
*
2. Phone #, Name and Relationship
*
3. Phone #, Name and Relationship
*
Doctors: Name / Phone
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In the event that my child has a medical emergency and the staff is not able to reach any of my emergency contacts, I give permission to the staff of Clemmons First Baptist Church Preschool to treat my child. If 911 is called and hospital treatment is necessary, I want my child transported to:
Name of Hospital
*
Name of Hospital
Signature of parent/guardian
*
Date
*
Submit
Home Page
About Us
Our Staff
Meet the Pastor
Driving Directions
Calendar
Ministries
Children's Clothing Closet Ministry
Preschool
Registration Info for 2023-24
Online Enrollment & Registration 2023-24
Preschool Calendar
Physical Exam Form
Giving