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Backyard Bible Club Registration
August 2nd | 6:30-8:30PM
This year there are three locations for Backyard Bible Club!
East Fayetteville
1073 E Bonnie Ln.
Farmington
252 New York Ave.
Elkins
13227 Tuttle Subdivision Rd
Please check our church Facebook & Instagram for any weather updates.
*
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
East Fayetteville - 1073 E Bonnie Ln Fayetteville, AR 72703
Farmington - 252 New York Ave
Elkins - 13227 Tuttle Subdivision Rd
Age
*
Last grade completed
*
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 if you are dropping off?
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
About
About Vertical
Beliefs & Values
Leadership Team
Our Story
Membership at Vertical
Schedule & Location
Directory
Ministries
VC Prayer
VC Worship
VC Kids
VC Students
VC Groups
VC Outreach
Areas to Serve
Media
Messages
VC Worship
Podcast
Give
Contact
Contact Us
Calendar