Foster Nights – South Point Baptist Church

FOSTER PARENT SUPPORT GROUP

Wednesday, October 20, 2021

Dinner for families:

5:00p - 6:00p

Meeting for parents and programing for students and kids:

6:00p - 7:30p

FOSTER SUPPORT NIGHT REGISTRATION

Step 1 of 3 - PARENT / GUARDIAN INFORMATION

Parent / Guardian #1
First Name*
Last Name*
Phone Number*
Email Address*
Allergies
Parent / Guardian #2
First Name
Last Name
Phone Number
Email
Allergies

Child #1
First Name
Age
Date of Birth
Grade (If Applicable)
Allergies
Does your child have any medical concerns that may affect your child while in our care?
In order to provide the best care, does your child have any special needs or challenges for us to be aware of?
Child #2
First Name
Age
Date of Birth
Grade (If Applicable)
Allergies
Does your child have any medical concerns that may affect your child while in our care?
In order to provide the best care, does your child have any special needs or challenges for us to be aware of?
Child #3
First Name
Age
Date of Birth
Grade (If Applicable)
Allergies
Does your child have any medical concerns that may affect your child while in our care?
In order to provide the best care, does your child have any special needs or challenges for us to be aware of?
Child #4
First Name
Age
Date of Birth
Grade (If Applicable)
Allergies
Does your child have any medical concerns that may affect your child while in our care?
In order to provide the best care, does your child have any special needs or challenges for us to be aware of?
Child #5
First Name
Age
Date of Birth
Grade (If Applicable)
Allergies
Does your child have any medical concerns that may affect your child while in our care?
In order to provide the best care, does your child have any special needs or challenges for us to be aware of?
Additional Children
Will you be bringing more than 5 children?
If yes, please fill out the appropriate amount of forms below
Child #6
Please include name, birthday, grade (if applicable), and please list any allergies, medical concerns, or special needs.
Child #7
Please include name, birthday, grade (if applicable), and please list any allergies, medical concerns, or special needs.
Child #8
Please include name, birthday, grade (if applicable), and please list any allergies, medical concerns, or special needs.
Child #9
Please include name, birthday, grade (if applicable), and please list any allergies, medical concerns, or special needs.
Child #10
Please include name, birthday, grade (if applicable), and please list any allergies, medical concerns, or special needs.

Emergency Contact Information
Emergency Contact: First Name*
Emergency Contact: Last Name*
Emergency Contact: Phone Number*
Relationship to Child(ren)*

Worship | 8:30a & 10:45a
Bible Study | 9:45a

(704) 825-9516 124 Horsley Ave, Belmont, NC 28012

FOSTER PARENT SUPPORT GROUP

FOSTER SUPPORT NIGHT REGISTRATION

Step 1 of 3 - PARENT / GUARDIAN INFORMATION

Parent / Guardian #1

Parent / Guardian #2

Child #1

Child #2

Child #3

Child #4

Child #5

Additional Children

Emergency Contact Information