Bethel Kids Registration Form

Name *

Email *

Mobile Phone *

Enter your child's name, date of birth and current grade *

1. Would you like to enter another child’s name? *

Yes

Does your child have any food allergies or diet restrictions. *

Yes

Is there anything else you'd like to share about your child to help us make Bethel Kids a great experience for them? *

Yes

Contact me for details.

Make selection *

I hereby allow the reproduction and publication of my child's photograph(s)

I do not allow the reproduction and publication of my child's photograph(s)

Parent/Guardian Signature (Incident & Injury Consent and Waiver Form) *common.clear

Date signed: *

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