Add My Family to the Waiting List

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Thank you for your interest in FBCLPEM.

Use this form to add your family to the waiting list. Please only submit one copy per year.

We will notify you by August 1st - either with a link to the membership application or letting you know that space is unavailable.

1.	Parent's Name:

2. *	Parent Email:

3. *	Parent Phone Number:

4. *	What is your county of residence?

5. *	How many children would be in oversight in K-5th grades?

6. *	How many children would be in oversight in 6th-8th grades?

7. *	How many children would be in oversight in 9th-12th grades?

8. *	Please indicate the level of oversight you are seeking: