Bethel Community Church - Youth Registration

Please fill out this form and click submit.

This is simply a contact information card to help us stay in touch with out.
For this first section please enter the young person's information. If the child does not have a phone or email please use the parents contact information.
 
Please select one option.
 
Contact Information

 
 
 
 
Parents & Family

This helps us tie you together as a family in our system and gives us the opportunity to have your best emergency contact information. If you have not registered yourself please do that as well.
 
 
School Information

Please provide us with your school name and grade.
 
Please select one option.
Please let us know if your child has any special needs or allergies below. Please always inform your youth worker of these needs and please provide this information on future registrations.
 

Description

Please fill out this form and click submit.

This is simply a contact information card to help us stay in touch with out.