2026 Backyard Bible Club Registration

Backyard Bible Clubs |June 8-11, 9:30-11:30 AM

Age 4 years old-5th grade, completed

Please use one form per household.
Today's Date:

MonthDayYear
- Parent/Guardian Name*
  
  FirstLast
- Email address*
- Mobile number*
  Please enter a valid phone number.Format: (000) 000-0000.
- YesNo
- Your Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- YesNo
- Where do you go to church?
- Choose the home of your choice. Click on the location marker to see the name of your preferred choice and then select the Host Home Choice below. Zoom in or click zoom box in top right corner of the map to see all location options. (If the map below is not loading, please try opening this form in a different browser, such as Safari or Firefox.)
- Host Home Choice*
  Refer to Host Home Google Map above to find the one nearest to you.
- 12345
- Child #1
  
  First NameLast Name
- Child #1 age
- Medical Info or Allergies
- Child #2
  
  First NameLast Name
- Child #2 age
- Medical Info or Allergies
- Child #3
  
  First NameLast Name
- Child #3 age
- Medical Info or Allergies
- Child #4
  
  First NameLast Name
- Child #4 age
- Medical Info or Allergies
- Child #5
  
  First NameLast Name
- Child #5 age
- Medical Info or Allergies
- Release Information
- I will pick my child(ren) up each day at 11:30 AMMy child(ren) will be leaving with another person each day.I give my permission for my child(ren) to leave this location at 11:30 AM and walk home.
- Name of person your child(ren) may leave with.
- Signature gives permission for your child(ren) to leave each day at 11:30am and walk home.
- Liability/Media Release
  
  I do hereby agree to hold First McKinney, their agents and employees harmless of any and all liability - actions, causes of actions, claims, expenses and damages on account of injury to my child(ren), property, even injury resulting in death, which I now have or which may arise in the future in connection with the activity or participation in any other associated activities. Still photographs and video taken at this event may be used for broadcast and promotion of this event and similar events.
- Should be Empty: