FBS Home School Coop Application

First Baptist School

814 Main St. Plattsmouth, NE 68048
(402) 296-5948

Family application for the 2020-2021 school year.

Family Information

Father's Full Name

Father's Cell Phone

Mother's Full Name

Mother's Cell Phone

Address

Primary Cell Phone Contact

Cell Phone Carrier

Primary Email

This address will receive a confirmation email

Church Membership

Student(s) Information

Name

Age

Date of birth

Grade entering next year

Name

Age

Date of birth

Grade entering next year

Name

Age

Date of birth

Grade entering next year

Name

Age

Date of birth

Grade entering next year

How will you be paying your tuition costs?

Monthly Semesters

Classes

Please select the classes your student is interested in participating in. Some classes may not be offered every semester. The school office will contact you with more information regarding class costs/fees and the class schedule.

Registration Fee ($10/student)

Once submitted, FBS will contact you for further registration instructions and information. By submitting this form, I agree to abide by First Baptist School policies.

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

Please complete this form to be included in activities at First Baptist School and participate as a home school family. Our goal in offering these activities is to provide opportunities that are sometimes difficult to provide as a home school family. We look forward to working together in the development of your students!

FBS Home School Coop Application

Description

Please Fix the Following