JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
2022-2023 Children & Youth Church School Registration
If you have any questions please contact
churchschool@bbc-nva.org
.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Parent/Guardian Information
Parent/Guardian First Name
*
Your answer
Parent/Guardian Last Name
*
Your answer
Parent/Guardian Contact Number
*
Please provide the best phone number to reach you. Please only provide one phone number.
Your answer
Contact Number Type
*
Choose
Home
Mobile
Are you a member of Bethlehem Baptist Church?
*
Yes
No
If not, would you like to be contacted to learn more Bethlehem Baptist Church?
Yes
No
Clear selection
What is your relationship to the student(s) you are registering?
*
Parent/Guardian
Grandparent
Aunt/Uncle
Brother/Sister
Godparent/Family friend
Other:
Required
Does your student(s) have a Tablet or a Smart Phone they can use during Church School?
Yes
No
Clear selection
How many students ages 2 - 17 are you registering?
*
If you need to register more than four students you will have to complete an additional form.
1
2
3
4
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Bethlehem Baptist Church.
Report Abuse
Forms
