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Backyard Bible Club Registration
*
Indicates required field
Child's Name
*
First
Last
Please list other children you are registering (including Age & Grade).
*
Name, Age, Last Grade Completed
Backyard Bible Club Location
*
Please Select One
West Fayetteville - 4214 W Anthem Dr. Fayetteville, AR 72704
East Fayetteville - 1073 E. Bonnie Ln. Fayetteville, AR 72703
Prairie Grove - 12967 Green Earth Rd. Prairie Grove, AR 72753
Age
*
Last grade completed
*
June 13th-16th | 10:00-11:30am
This year there are three locations for Backyard Bible Club!
East Fayetteville
4214 W Anthem Dr.
West Fayetteville
1073 E Bonnie Ln.
Prairie Grove
12967 Green Earth Rd.
Please check our Facebook & Instagram for any weather updates.
Parent/Guardian Name
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Mailing Address (if different)
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Numbers and Email
Home Phone
*
Work Phone
*
Mobile Phone
*
Email
*
Medical Information
or other information we need to know.
(Please include any food or other allergies)
Medical Information
*
Emergency Contacts
(other than listed above)
Emergency Contact 1 - Name
*
Emergency Contact 1 - Phone Number
*
Emergency Contact 2 - Name
*
Emergency Contact 2 - Phone Number
*
Dismissal Information
Who may pick up your child at the end of each Backyard Kids Club?
Name of the person(s) who may pick up your child.
*
Other Information
Do you attend church? If so, where?
*
May we have permission to photograph your child?
*
Yes
No
May we have permission to use your child's photograph for the purpose of promotion, including social media?
*
Yes
No
Submit
I’m New
About Vertical
Beliefs & Values
Leadership Team
Our Story
Schedule & Location
Connect
VC Groups
Areas to Serve
Membership at Vertical
Ministries
VC Prayer
VC Worship
VC Kids
>
Backyard Bible Club Registration
VC Students
VC Groups
VC Outreach
Media
Messages
VC Worship
Podcast
Give
Contact