2024 Bethel Registration/Medical Form
Please complete the form below for each child participating in a Bethel Church group, Sunday School or function within this school-year cycle.

Remember that you need only complete one form per child even if they will participate in more than one group. The information will be stored for all groups you check below. Thank you!
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  • If your child does not have a cell phone or if you choose to not provide us with the number, simply click NO, here.
  • PARENT/GUARDIAN INFORMATION

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  • MEDICAL INFORMATION

    The following information is required for use in case of medical emergency only.
  • Additional Information

  • Please sign using either your mouse or your finger/stylus on a touch screen. By signing you affirm that you have read and agree to follow the covid safety protocol above. Thank you for your understanding and cooperation.