For Preschoolers ages 18 months

Registration for “Walking With Jesus” Preschool Summer Fun Days!
Weekly Themes with Bible Stories, Activities, Crafts & More!
For Preschoolers ages 18 months - Pre K 5yrs
Circle which applies:
My Preschooler(s) will participate in the following Fun Days:
___Thursday June 1
10:00-1:00
___ Thursday June 8
10:00-1:00
FBC Member?
Yes No
Weekday Preschool student?
___ Thursday June 15 10:00-1:00
Yes No
___Thursday June 22 10:00-1:00
Friend of:
___ Thursday June 29 10:00-1:00
__________________________
___Thursday July 13
10:00-1:00
___Thursday July 20
10:00-1:00
SIGN UP FOR ALL DAYS OR JUST A FEW!
$20 Registration per day ($10 per additional sibling)
We will play with friends, make arts & crafts, have outside time, music & movement, snack (we provide), Bible
story & activity time & lunch (you provide). We look forward to having a wonderful day with your child!
Qualified, trained, loving & experienced staff will take care of your children.
Return this registration form, the additional FBC Participant Form available on the church website, the church
office or weekday office, along with the fee(s) to the FBC Church office during regular office hours: Mon.-Thurs.
8:30-5:00, and Fri. 8:30-4:30. Forms may also be returned to the Weekday Office during their office hours (M-Th
8:30am-1:30pm through May 17). Space is limited and enrollment is on a first come first served basis. Your
reservation will be confirmed once we receive the necessary paperwork and fees. You may choose to be added to
a wait list if necessary. Please make your check payable to FBC Rome. All Fees are non-refundable.
Please call Melissa Wood with questions- 706.295.1150 or 706.346.6516. We hope you will participate in this
special Ministry to Preschoolers. We would love the opportunity to nurture and love your child this summer!
Child’s Name ____________________________________Birthday _______________ Sex____
Child #2 Name___________________________________Birthday________________Sex____
Parent’s Names ________________________________________________________________
Address ______________________________________________________________________
City __________________________ Zip ______________ Email _________________________
Work Phone ______________________________ Cell Phone Number ____________________
Parent Signature ___________________________________________Date ________________
Office Use Only:
Date Fee Pd: ____________ Chk # & Amt__________________ Consent Form Recvd? _________