Bee Kids Club Registration
Bee Kids is our mid-week children’s program that includes Bible-based, character building lessons, arts and crafts, music, movies, baking, mission activities and fun, all focused on building a strong community of faithful future leaders.
Come join us!
Every child will need to be signed in and signed out. If you have any questions, please email claudia@beecreekumc.org

Who: Kindergarten - 5th grade
When: Wednesdays September through April from 4:00 to 5:30pm (Doors open at 4:00pm) Where: The Youth Room

Child's Name *
Your answer
Gender *
Required
Child's Birthday *
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DD
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YYYY
Child's Age *
Your answer
Household Address *
Your answer
Grade - Fall 2018 *
Mother's Name (First & Last) *
Your answer
Mother's Cell Phone Number *
Your answer
Mother's Email *
Your answer
Mother's address if different from child's address
Your answer
Father's Name (First & Last) *
Your answer
Father's Cell Phone Number *
Your answer
Father's Email *
Your answer
Father's address if different from child's address
Your answer
Emergency Contact Name and relationship (No Parents/Guardians) *
Your answer
Emergency Contact Phone Number *
Your answer
Special Information (Allergies/Medical) Severe allergies, food allergies, special diet, ADHD, autism, behavior issues, etc (This information will be confidential) *
Your answer
I give permission for my child's photograph or video image to be used on promotional or information materials, church social media, children's bulletin board and church website for positive public relation purposes. *
I would like to volunteer for Bee Kids (up to 2 volunteers per week) *
I consent to allow emergency medical aid to be administered to my child if the need arises. *
Additional Comments
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