All Questions Must Be Completed

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Registration For (Choose One):

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Registrant Personal Information:

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Adult Personal Informaton:

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Authorized Individuals Allowed To Pick Up Your Son Or Daughter  (Photo ID Required For Positive Identification):

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Anything about your son or daughter that you would like or need us to know about special needs, medical issues or allergies?  If yes, please be specific.  If none, state, "No."

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I recognize that Bethel uses photographs and video images in our social media, such as Bethel's website, newspapers, newsletters, etc., and I hereby grant permission for these images of my child to be taken and used for such purposes.

When finished, click "Done."  Then, "x" out of any SurveyMonkey survey that appears.

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