CLU Registration - First Baptist Haughton

Name*
First Last
Birthday*
MM
DD
YYYY
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Contact Number*
What class are you signing up for?*
Will you require childcare?*
- Yes
- No
If childcare is needed, please provide each child's name and birthday.
Do you need to sign up other members of your family?*
- Yes
- No
Who else do you need to sign up?
- Spouse
- One Child
- Two Children
- Three Children
- Four Children
Spouse's Name
First Last
Age
What class are you signing up for?*
Child's Name
First Last
Age
What class are you signing up for?*
Child's Name
First Last
Age
What class are you signing up for?*
Child's Name
First Last
Age
What class are you signing up for?*
Child's Name
First Last
Age
What class are you signing up for?*