BCOG Kids Pre-Registration

We can’t wait to meet your child at BCOG Kids!
Help us make your child’s first experience a great one!
Make sure that you complete one form per child.

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Mother’s First and Last Name

Father’s First and Last Name

Other Guardian First and Last Name

Your Relationship to Child

Child’s First and Last Name

Child’s Date of Birth (YYYY-MM-DD)

Street Address

City

State

Postal / Zip Code

Phone

Age and Grade

Special Needs or Allergies

Photo Release Authorization for Minors (under the age of 18)
Bridgeford Church of God has my permission to use photographs of my child listed above to promote Bridgeford Church of God and B Kids ministry. I understand that the images may be used in print publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such.

Please select a choice below:

My child's photo can be used.

My child's photo cannot be used.