REGISTRATION

Please fill out your information, so we can contact you in case of an emergency. You only need to fill out the Parent Information ONCE per family.
Parent Name *
First Name
Middle
Last Name
Address (if not MBIC regular attender)
Address Line 1
Address Line 2
City
State/Prov.
Postal Code
Email*
Mothers Cell*
Fathers Cell*
Once you submit your Parent Information you will be able to fill out your child's information.