Be Beep BINGO Registration Form for June 8 (6:30 - 8 p.m.)
This form is required to secure your child’s spot for Be Beep BINGO, a fun-filled event open to rising kindergarteners through rising 7th graders. We will play from 6:30 to 8 p.m. We will provide cheese pizza as a snack. Please send your child with a water bottle and a zip-top bag labeled with their name.
Child Information
Child's Name 1
*
First Name
Last Name
Grade for the 2026-2027 school year (Child 1)
*
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
Child's Name 2
First Name
Last Name
Grade for the 2026-2027 school year (Child 2)
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
Child's Name 3
First Name
Last Name
Grade for the 2026-2027 school year (Child 3)
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
Child's Name 4
First Name
Last Name
Grade for the 2026-2027 school year (Child 4)
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
Parent/Guardian Information
Parent/Guardian's Name
*
First Name
Last Name
Contact Phone Number
*
Format: (000) 000-0000.
E-mail Address
*
example@example.com
Primary Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency + Pick-Up Information
If different from above!
Emergency Contact Name
First Name
Last Name
Emergency Contact Phone Number
-
Area Code
Phone Number
Relationship to child
Authorized pick-up person, if different from parent/guardian listed above.
Medical, Dietary + Photo Notes
If different than above!
Please provide any medical or dietary restrictions.
Is there anything we need to know about your child that we have not asked?
We occasionally take photos during Bingo Night to share on Be Beep’s social media or website. Please type “no photos” if you do not want your child included.
Parent Acknowledgment + Registration Fee
I understand that Be Beep Bingo Night is a drop-off event. I agree to provide accurate emergency contact, allergy, and pick-up information before drop-off. I also understand that my child will only be released to a parent/guardian or approved pick-up person listed on this form unless Be Beep is notified in writing before pick-up. Please type your initials to acknowledge.
*
Please type your initials to acknowledge.
We’re excited to have your child join us for Be Beep Summer Bingo! Registration is $15 per child, per Bingo night and helps cover pizza, staff time, prizes, and Bingo Bucks. Please send cash only in a zip-top bag labeled with your child’s name. By submitting this form, you agree to the registration fee.
*
Please Select
I understand registration is $15 per child, and cash is due at drop-off.
Submit
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