Register Your Child | Berlin First Baptist Church Nursery

Register Your Child

"*" indicates required fields

Child's Name*

Child's Last Name*

Parent/Guardian Full Name(s)*

First Last

Parent/Guardian Full Name(s)

First Last

Child's Birthdate*

Address*

Street Address City State / Province / Region ZIP / Postal Code

Phone Number*

Any Special Instructions

Email

This field is for validation purposes and should be left unchanged.