Bethel Prayer Night Childcare
Our class is limited to 8 kids on a first come first served. We will confirm your spot late Thursday night or early Friday morning.  

Sign in to Google to save your progress. Learn more
Email *
Child's Full Name *
Child's Age *
Please answer in years and months (e.g. 1 year 6 mos), Babies through age 4 only.  
Untitled Title
Parent's Cell Phone *
Please use the number you used to check your child in at the kiosk pre pandemic. 555-555-5555
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Bethel Church of Houston. Report Abuse