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If you would like more information about First Baptist School or would like us to contact you regarding any questions you may have, please complete this form. We will be happy to get in touch with you as soon as possible. You may e-mail at admissions@fbschool.org or call (843) 722-6646 ext. 29.

POTENTIAL STUDENT INFORMATION:

First Name:   Last Name:

Nickname:

Birthdate:

Current School:

Current Grade:      Sex:

Does the student have any brothers or sisters?   Yes No
(If Yes and you are interested in enrolling them, please list names, ages, current grade levels, and sex below)

Name:     Age:
Grade:     Sex:

Name:     Age:
Grade:     Sex:

Name:     Age:
Grade:     Sex:

Please indicate which grade level you might be interested in (check all that apply).
Early Childhood Classes (Kindergarten 3,4 or 5)
Lower School (1 - 4)
Middle School (5 - 8)
Upper School (9 - 12)

PARENT OR GUARDIAN INFORMATION:

The student(s) live with the:
Mother
Father
Both
Other

Are you the:
Mother
Father
Other

Please complete the following information to receive mailed materials.

Your First Name:   Your Last Name:

Address:

City:        State:   Zip Code:

Country:

Daytime Phone:   Email:

Comments/Questions:

How did you hear about First Baptist?
Family or Friend
The Internet
Other

To contact you, do you prefer we:
Telephone
Email
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