BSBC

Child Program Registration

Children’s Program Registration

Parent / Guardian Information

Guardian #1

Name* :
Phone* :
Email* :
(for confirmation)
Address

Guardian #2

Name :
Phone :
Email :
(for confirmation)
Address

Child Information
Name* :
Address* :
Birthdate* :
Grade :
(Fall 2017)
School :
Allergies, Medical Conditions, or Special Instructions:
 
Registering for (check all that apply):
Sunday School – Graded Classes from Infancy to Grade 5 (Sundays, 9:30-10:20 am)
Children's Church – Graded Classes for Infancy to Age 4 (Sundays, 10:20 – 11:45 am)
KidzTown – Worship and Education for K – Grade 5 (Sundays, 10:20 – 11:45 am)
Shake, Rattle and Roll – For Preschool Children and Moms (Tuesdays, 10 am – 11:30 am)
Junior Choir – For Boys and Girls K to Grade 5 (Wednesdays, 6-6:25 pm)
G.A.K. (Girls Adventure Club) – Activity Based Program for Girls K-Grade 5 (Wednesdays, 6:30 – 8 pm)
Otters – Boys Scouting Program for K-Grade 1 (Wednesdays, 6:30 – 8 pm)
Timber Wolves – Boy’s Scouting Program for Grade 2-5 (Wednesday, 6:30 – 8 pm)

Any other information that we should know ?
For your protection and privacy, we ask your permission to use your child’s picture in publications and/or on the BSBC Website/Facebook page:
I give my permission to use my child(ren)’s picture on the Internet and/or in church publications.I DO NOT give my permission to use my child(ren)’s picture on the Internet and/or in church publications