JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Kids Kub Registration 2025-2026
Thursdays beginning October 2 ~ 6:00 - 7:30 p.m.
Children in SK - Grade 5
Cost $40 (Family max $90)
When you have filled in the form, please be sure to press "Submit".
***Payment can be made by e-transfer to
info
@bethelnewdundee.org
or can be paid on the first night.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Parent's Name
*
Your answer
Address
*
Your answer
Phone Number
*
Your answer
Email Address
*
Your answer
Emergency Contact
Your answer
Others Who Can Pick Up Your Child/Children at Dismissal?
Your answer
Family Doctor
(Give Name and Phone Number)
Your answer
May we use your email address above to relay important information like weather-related cancellations and upcoming events?
*
Yes
No
Do you consent for your child's name, photograph, video image and/or accomplishments being used in Bethel Evangelical Missionary Church publications like power point presentations, videos, email, newsletters or promotional materials?
Yes
No
Clear selection
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
