Bethel Buddies Registration

Register for Bethel Buddies by filling out the information below:

First Name

Last Name

Age/Date of Birth

Grade/School

Any known allergies?

Please enter your full address:

Street Address

City

State

Zip Code

Parent(s) contact info:

Name of Parent(s)

Email Address

Home Phone/Cell Number

What is the best way to reach you?

Phone

Text

Emergency contact name & phone number

Relationship to child

Additional Information

Thanks for pre-registering for Bethel Buddies! See you October 5th at 6:30pm.