Kids Klub Registration

Kids Klub Registration 2017-2018

Please complete this form and press "submit".
The cost of the program is $35/child to a maximum of $75/family. Payment can be made on the first evening.
Start date is September 21, 2017
  • Parent/Guardian Information
    First Name
    Last Name
  •  
  •  
  • First Name
    Last Name
  •  
  • May we use your email address above to relay important information like weather-related cancellations and upcoming events?
  • Do you consent to your child's (children's) name, photograph, video image and/or accomplishments being released in Bethel Evangelical Missionary Church publications such as Power Point presentations, videos, the church directory, newsletter and promotional materials?
  • First Name
    Last Name
  • /
    /
  • First Name
    Last Name
  • /
    /
  • First Name
    Last Name
  • /
    /
  • First Name
    Last Name
  • /
    /