After School Bible Clubs
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After School Bible Clubs
About Us
Donate
Contact

Sign up – BCM Bible Clubs

Fill out this form to register for our Bible Club

1Choose your club

2Parent information

3Permissions and signature

Select Your After School Bible Club*
Name and Ages of Child(ren)*
Questions or comments?
Please include any allergies or other important information we might need to know about your child(ren):

Parent(s)
Parent Name*
First Last
Address*
Street Address Address Line 2 City Province Postal Code
Email*
Enter Email Confirm Email
Phone:*
Include Second Parent Info
- Include Second Parent Information
Parent Name*
First Last
Address*
- Use same address as above
- Use different address details
Address*
Street Address Address Line 2 City Province Postal Code
Email
Enter Email Confirm Email
Phone:
Pickup
How will your child(ren) leave the Bible Club?
- My child(ren) will be picked up by adult or older sibling
- My child(ren) will go directly to After School Care
- My child(ren) can walk home on their own
Picked up by who?*
Please list who is allowed to pick up your child(ren), and their relationship to your child? (Example: Tina Hilbert - mom)
Special Pickup-restrictions?
Is there anyone specifically who is NOT allowed to pick up your child from Bible club?
- Yes
- No
(If you answered yes on Special Pickup-restrictions, please speak with Club Leader to provide more details.)

Helping out?
Are you willing to help out with the Bible Club? We will contact you for more details.
- I am open to provide a snack for the children from time to time.
- I am open to help supervise the club.
Updates?
- Please send me local Bible Club prayer request updates over email.
- Please send me Bible Club ministry updates over email.
Photo Release and Permission
Photo Release*
From time to time photographs may be taken throughout the program. If you do not wish your child’s picture to appear in any of our publications or on our websites, please let us know by selecting the appropriate box. Your request will be treated in confidence and every reasonable effort will be made to ensure that your request is honoured.
- Yes, you may use my child’s picture
- No, do not use my child’s picture
Guardian Permission*
I hereby give permission for my child(ren) to participate in the program outlined above
Parent or Guardian Name
Signature*
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Disclaimer (Hidden)
All information submitted is kept confidential. We will never rent, sell, share or give your information to a third party without your consent unless required by law.
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Bible Club Contact Details (Hidden)

Coordinator: Judy Hiebert - bibleclubs.leamington@bcmintl.ca
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Registration Email (Hidden)
Comments
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Email(Required)

I'm particularly interested in Bible Club news from:

Essex-Leamington

London

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Email

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Bible Clubs is a ministry of BCM (Intl. ) Canada.

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