Bible Club Registration

Fall 2018/Spring 2019

October 15 - April 15
- A completed parental permission form (below) is required for club attendance.

- Transportation home is the responsibility of each parent/guardian for their children.
Child's First Name*
Child's Last Name*
Birth Date*
Teacher's Last Name*
T-Shirt Size*
Parent/Legal Guardian Name*
Cell Phone*
Phone (Other)
Emergency Contact/Phone Number (if unable to reach parent)*
Please list the names & phone numbers of all people with permission to pick up your child from After-School Bible Club.

-We will only release your child to those who are listed.*
Food Allergies
Other Allergies
Is there any additional information you would like for us to know?
I give permission for my child, to attend the After-School Bible Club at Gilbert Willie Sr. Elementary (enter your name)*
Bible Club is sponsored by Terrell Bible Church and not affiliated with Terrell Independent School District.
(972) 524-7188