KidsZone Registration 2025-2026

Please fill out this form and click submit.

KidsZone is on Sundays from 5-7pm starting September 7, 2025!

Child's Name

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Date of Birth

*

Grade

*

Please select one option.

Kindergarten 1st 2nd 3rd 4th 5th

Parent Email

*

This address will receive a confirmation email

Parent Phone

*

School Attending

Emergency Contact Name

*

Emergency Contact Phone

*

Address

*

Allergy/Medical Information

*

Would you like to us to you to our weekly church announcement email?

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Please select all that apply.

Yes Please! No, Thank You

Looking for a church home? Would you like some more information about our church family?

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Please select all that apply.

We already go to Bethany! Whooo!! Yes! Please email info. Yes! Please text me info. Yes! Please have someone call me with more info! No, thank you.

Photo Release: Photos will be taken throughout the program activities. I give my permission for my child to be in these photos that may be used in promotional materials and on Bethany Baptist Church's social media accounts. Please sign here by entering your first and last name as a signature.

*

Description

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