New Registration

In addition to submitting the form on this page, there are a few more steps you need to take before your child’s first Buddy Break:

(1) Go to the Nathaniel’s Hope website to complete their paperwork for your child.

(2) Attend the 1 hour Orientation with SOBC’s Buddy Break prior to the first date that you leave your child with us.

1. Parent/Guardian Name(required)
2. Child's Name(required)
3. Date of Birth(required)
4. School Attending(required)
5. Current Grade Level(required)
6. Please Describe Your Child's Disability(required)
7. Names & Ages of Siblings
8. Home Phone Number(required)
9. Cell Phone Number
10. Best Time To Call You Back anytime morning afternoon evening (required)
11. Email(valid email required)
12. Address(required)
13. City & State(required)
14. Zip Code(required)
15. Home Church (if you attend regularly)
16. I have registered with Buddy Break in the past
17. How did you hear about Buddy Break at SOBC?(required)
18. Next Date That You Will Join Us January 18 February 15 March 15 April 26 June 21 July 18 (Friday Night 6:30 pm - 9:30 pm) August 16 September 20 October 18 December 6 (9:30 am - 1:30 pm) (required)
19. Comments or Questions

 

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