Neighborhood Bible Time

Please note that your registration form will clear after pushing the sent button below. That will indicate we have received it. If you are uncertain though, please feel free to contact the office after 3 business days. Thank you for registering onine with us today.

*Parent/Guardian Name:

*Your Email:

*Child Name:

*Gender:

BoyGirl

*Grade Entering in the Fall:

1st2nd3rd4th5th6th7th8thother

Additional Parent/Guardian Name 2:

*Phone:

*Address:

*City:

*State:

*Zip:

Tranportation Needed:

Yes

Special Notes:

Waiver For General Photo Release
I hereby grant permission to all of the foregoing to use any photographs or video of this event for legitimate purposes, including, but not limited to online advertising and promotion. By checking the box below I hereby testify I am over 18 or have permission from a parent or guardian.