BUILDING FOUNDATIONS FORM BUILDING FOUNDATIONS REGISTRATION FORM ONLY ONE REGISTRATION NEEDED PER FAMILYCHILD INFORMATIONDate MM slash DD slash YYYY FIRST CHILD'S NAME First Last GRADE COMPLETEDSelect Class1. Bible stories with Lego activities (1st - 6th)2. Large Lego Build of Jerusalem (5th - 7th)SECOND CHILD'S NAME First Last GRADE COMPLETEDSelect Class1. Bible stories with Lego activities (1st - 6th)2. Large Lego Build of Jerusalem (5th - 7th)THIRD CHILD'S NAME First Last GRADE COMPLETEDSelect Class1. Bible stories with Lego activities (1st - 6th)2. Large Lego Build of Noah's Ark (4th - 6th)PARENT'S INFORMATIONPARENT'S NAME* First Last ADDITIONAL PARENT'S NAME First Last ADDRESS* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PHONE*ALTERNATE PHONEPARENT'S EMAIL* CHILD'S MEDICAL INFORMATIONFOOD ALLERGIESNOYESPLEASE SELECT YES OR NOIF YES TO FOOD ALLERGIES PLEASE EXPLAIN BELOWMEDICAL CONCERNSYESNOPLEASE SELECT YES OR NOIF YES TO MEDICAL CONCERNS PLEASE EXPLAIN BELOWPlease watch for a confirmation email.CAPTCHA Δ
