Child’s shirt size2024-2025FBA Preschool Registration Form*Check or cash only accepted for registration paymentBabies 6-12 monthsCheckCashM/W Reg. fee $1951 Yr. ClassCheckCashT/Th Reg. fee $195Young 2 Yr. Class (Birth month March-August)CheckCashM/W Reg. fee $195Old 2 Yr. Class (Birth month Sept- Feb)CheckCashT/W/Th Reg. fee $2103 Yr. Class (3 day)CheckCashT/W/Th Reg. fee $2103 Yr. Class (4 day)CheckCashM/T/W/Th Reg. fee $230Pre-K 4CheckCashM-F Reg. fee $250Child’s Full NameName child usesBirthdateMaleFemaleAge as of September 1Parent #1 emailParent #2 emailStreet AddressCityZIP / Postal CodeMother’s NamePlace of EmploymentWork PhoneCellFather’s NamePlace of EmploymentWork PhoneCellChild resides with:Both ParentsMomDadOther, please specify whomMarital Status of parentsSingle ParentMarried Living TogetherSeparatedDivorcedWidowWidowerStepfatherStepmotherGrandparentIf there is a separation or divorce in the family, please complete the section below:If separated or divorced, with which parent does the child residePlease describe the custody agreement regarding picking the child up from school:*Please note that a copy of the custody papers must be on file in student’s permanent record. This child may NOT be released to the following (due to custody arrangements):Medical Information:Name of PediatricianOffice PhoneAny Known Allergies:Is your child taking any medication on a regular basis?If yes, please note here:Does your child have any health concerns we should be aware of?I hereby give permission for the staff of First Baptist Academy and/or any necessary medical personnel to meet the needs of my child in the event of an emergency.((Initial here)Does your family have a home church?If so, name of churchWould you like some information about the First Baptist Church of Covington?The following person(s) have my permission to pick up my child from preschool or in the event of an emergency and the parent/guardian cannot be reached. A picture I.D. will be required.NamePhone/CellRelation to childNamePhone/CellRelation to childNamePhone/CellRelation to childNamePhone/CellRelation to childMedia Agreement:Please check:YesNofor permission to include address/phone on class listPlease check:YesNofor permission to use photos of child for use in ads/social mediaI understand that it is the policy of FBA to give no refunds or transfer registration fees.Parent SignatureYour browser does not support e-Signature field.DatePlease note upcoming fees and payments:August- First month tuition + one time FACTS service fee (yearly payment plan $20 fee, Bi-annually $30 fee, and monthly payment $50 fee)September- Second month tuition + school/curriculum fee (a one-time fee for the year)October through May- Tuition payment onlyWhile there are several times throughout the year when school is closed, tuition is based on the number of days throughout the entire school year. The monthly tuition option is for the convenience of our families and is NOT based on the number of days per month that your child attends school. Send Message