KidsZone Registration 2025-2026
Please fill out this form and click submit.
KidsZone is on Sundays from 5-7pm starting September 7, 2025!
KidsZone is on Sundays from 5-7pm starting September 7, 2025!
*For ages 3-5th grade, and must be potty trained*
Click
here
to learn more about KidsZone.
Child's Name
*
Date of Birth
*
Grade
*
Please select one option.
Ages 3-4 (Pre-K)
Kindergarten
1st
2nd
3rd
4th
5th
Select Option
Ages 3-4 (Pre-K)
Kindergarten
1st
2nd
3rd
4th
5th
Parent Name
*
Parent Email
*
This address will receive a confirmation email
Parent Phone
*
School Attending
Emergency Contact Name
*
Emergency Contact Phone
*
Address
*
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Allergy/Medical Information
*
Are you interested in receiving our church's weekly announcement email?
*
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?
*
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.
*
Submit
Description
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