First Baptist Church Leesburg
Tuesday, September 07, 2010

Children's Choir Registration

 
If you are registering more than one child, please completely register each separately.
 
Name of Child: 
 
Select Child's Grade: 
 
Parent(s)/Guardian(s) Name(s) and Best Contact Numbers:
Please put name on one line and the phone number on the line immediately below.
 
Mailing Address (City, St. Zip): 
 
E-mail Address: