Summer Kids Club Registration
August 13-17, 2018 -- 9 a.m. to 12 noon
Join us at Summer Kids Club for music and a variety of activities to choose from. Discover, from the story of Joseph, how God is faithful.
Bethel Christian Reformed Church, 117 Windsor Drive, Brockville - 613-345-2050 or email:
Name of child (first, last name) *
Your answer
Date of Birth *
Parent or Guardian *
Your answer
Email *
Your answer
Home Phone and/or Cell Phone *
please provide at least one phone number where we can contact you
Your answer
Emergency Contact, Name and Phone Number *
please provide an alternate contact person, just in case
Your answer
Special Needs, Requests, Allergies
Your answer
Junior Kids (ages 4-6) will have a variety of stations they will participate in each day during their activity time. No advanced selection required.
Intermediate Kids (ages 7-11) can choose an activity they will be involved in for 1 1/4 hours each morning. These sessions will allow them to focus on an area of interest and develop skills. Please choose three activities in order of preference. We will do our best to honour the requests; preference is given in the order that registrations are received.
1st choice
2nd choice
3rd choice
Paper Craft
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms