Bethany UMC
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Bible Bonanza Registration
2007 - 2008 School Year

Kindergarten through Grade 5 for the Year 2007-2008

PARENT INFORMATION:

Parent(s) or Legal Gardian(s)

 


Bethany Member?
Bethany Visitor?
Friend of?

Street Address    

   Apt. #     

City    

Zip    

Home Phone    

Cell  Phone   

Email Address    


My child may leave the with following individuals:
My child may NOT leave with the following individuals:
Are you interested in helping with Bible Bonanza as:

CHILD INFORMATION:

IMPORTANT: After completing the information below, you must initial and use the "Submit" button at the bottom of the page

CHILD 1

Did this child attend Bible Bonanza School last year?
Preferred First Name and Last Name
Age / Grade as of 09/01/2007
Gender
Birthday (mm/dd/yyyy)
Allergies / Special Information

Child may leave after class on his/her own?
(4 years old and younger must leave with an adult)


CHILD 2
Did this child attend Bible Bonanza School last year?
Preferred First Name and Last Name
Age / Grade as of 09/01/2007
Gender
Birthday (mm/dd/yyyy)
Allergies / Special Information

Child may leave after class on his/her own?
(4 years old and younger must leave with an adult)


CHILD 3
Did this child attend Bible Bonanza School last year?
Preferred First Name and Last Name
Age / Grade as of 09/01/2007
Gender
Birthday (mm/dd/yyyy)
Allergies / Special Information

Child may leave after class on his/her own?
(4 years old and younger must leave with an adult)


CHILD 4
Did this child attend Bible Bonanza School last year?
Preferred First Name and Last Name
Age / Grade as of 09/01/2007
Gender
Birthday (mm/dd/yyyy)
Allergies / Special Information

Child may leave after class on his/her own?
(4 years old and younger must leave with an adult)


IMPORTANT!
By initialing below, I state that all information that has been provided on this form is correct.
Type your initials here to agree: