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Neighborhood Bible Time Registration

Scroll down to complete registration and submit.
Fields marked in red are required.

How many children will you be registering?

Parent or Guardian:
    First Name
    Last Name

    Street Address

    City
    State
    Zip

    E-mail

Emergency Contact Information:
    Home Phone
If you use your mobile phone as your home phone, enter it above.
    Work Phone
    Mobile Phone



First Child
    First Name
    Last Name

    Age    Grade

List any food allergies.

Please include any other important or helpful information
we should know below.



Second Child
    First Name
    Last Name

    Age    Grade

List any food allergies.

Please include any other important or helpful information
we should know below.



Third Child
    First Name
    Last Name

    Age    Grade

List any food allergies.

Please include any other important or helpful information
we should know below.



Fourth Child
    First Name
    Last Name

    Age    Grade

List any food allergies.

Please include any other important or helpful information
we should know below.



Fifth Child
    First Name
    Last Name

    Age    Grade

List any food allergies.

Please include any other important or helpful information
we should know below.



Sixth Child
    First Name
    Last Name

    Age    Grade

List any food allergies.

Please include any other important or helpful information
we should know below.



Seventh Child
    First Name
    Last Name

    Age    Grade

List any food allergies.

Please include any other important or helpful information
we should know below.



Eighth Child
    First Name
    Last Name

    Age    Grade

List any food allergies.

Please include any other important or helpful information
we should know below.



Please enter your first and last initials to indicate agreement with the following:  
WAIVER: “I hereby give my full consent for my child to be involved in the activities at Neighborhodd Bible Time and to be under the supervision of the leaders in charge.”

Please note: We take many photographs throughout NBT, and we often elect to use those photos for print and electronic promotional materials. As such, we may choose to use in a tasteful manner an image of your child in these materials.


Bethany Bible Church • 207 Chadwick Ave • Hendersonville, NC