Bethesda Church Kid's Club Registration
Sign in to Google to save your progress. Learn more
Parent/Guardian Primary Email *
Full Name of (First) Child *
Age Of Child *
Date of Birth *
MM
/
DD
/
YYYY
Preferred Kid's Club Program *
Required
9 Digit Manitoba Health Number *
Do You Have More Children that You Would Like to Register? *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Youth for Christ Winnipeg. Report Abuse