Register Kids

If registration is closed for your club, do not complete the form below. Instead, please contact the Club Leader to be added to the waiting list.

KBC Student Registration

* Beach Club Location

select one

select one
Academy of the Arts at Bransom Elementary (Burleson ISD, Texas)
Adobe Acres Elementary (Albuquerque Public Schools, New Mexico)
Altruria Elementary (Bartlett City Schools, Tennessee)
Austin Elementary - Baytown (Goose Creek Consolidated ISD, Texas)
Bailey Elementary (Hillsborough County Public Schools, Florida)
Barksdale Elementary (Rockdale County Public Schools, Georgia)
Bell Manor Elementary (H-E-B ISD, Texas)
Big Sandy Elementary (Big Sandy ISD, Texas)
Binion Elementary (Birdville ISD, Texas)
Bon Lin Elementary (Bartlett City Schools, Tennessee)
Bowie Elementary (Richardson ISD, Texas)
Canton Intermediate (Canton ISD, Texas)
Central Elementary (Van Buren Public Schools, Arkansas)
Charger Academy (Tipton County Schools, Tennessee)
Charleston Elementary (Charleston Public Schools, Arkansas)
Curlew Creek Elementary (Pinellas County Public Schools, Florida)
EK Key Elementary (Calcasieu Parish Public Schools, Louisiana)
Ellendale Elementary (Bartlett City Schools, Tennessee)
Grace Hardeman Elementary (Birdville ISD, Texas)
Hackberry Elementary (Little Elm ISD, Texas)
Hawkins Elementary (Hawkins ISD, Texas)
Hillsboro Intermediate (Hillsboro ISD, Texas)
Hilsboro Elementary (Hillsboro ISD, Texas)
Holiday Heights Elementary (Birdville ISD, Texas)
Hood-Case Elementary (Alvin ISD, Texas)
Janie Stark Elementary (Carrollton-Farmers Branch, Texas)
Kemp Intermediate (Kemp ISD, Texas)
Kimball Elementary (Mesquite ISD, Texas)
Kit Carson Elementary (Madison County Schools, Kentucky)
Lake George Elementary (Orange County Public Schools, Florida)
Lancaster Elementary (Orange County Public Schools, Florida)
Mesquite PTAA (PTAA (Pioneer Technology & Art Academy), Texas)
Molino Park Elementary (Escambia County School District, Florida)
Moss Elementary (Mesquite ISD, Texas)
Northwest Elementary (Brownwood ISD, Texas)
Norwood Elementary (Burleson ISD, Texas)
Oak Point Elementary (Little Elm ISD, Texas)
Ocean Springs Upper Elementary (Ocean Springs School District, Mississippi)
Peaks Mill Elementary (Franklin County Public Schools, Kentucky)
Pinar Elementary (Orange County Public Schools, Florida)
Pine Street Elementary (Rockdale County Public Schools, Georgia)
Poynter Elementary (Crowley ISD, Texas)
Range Elementary (Mesquite ISD, Texas)
Remington Point Elementary (Eagle-Mountain Saginaw ISD, Texas)
Rhodes Intermediate (Forney ISD, Texas)
Richton Elementary (Richton School District, Mississippi)
Ripley Elementary (Lauderdale County, Tennessee)
Robinson Elementary (Hillsborough County Public Schools, Florida)
Rock Springs Elementary (Orange County Public Schools, Florida)
Rockenbaugh Elementary (Carroll ISD, Texas)
Rugel Elementary (Mesquite ISD, Texas)
Rutherford Elementary (Mesquite ISD, Texas)
Saffell Street Elementary (Anderson County Public Schools, Kentucky)
Sand Hill Attendance Center (Greene County Public Schools, Mississippi)
Seminole Elementary (Pinellas County Public Schools, Florida)
Shady Oaks Elementary (H-E-B ISD, Texas)
Shenandoah Elementary (East Baton Rouge Parish, Louisiana)
Silverhill Elementary School (Baldwin County Board of Education, Alabama)
Southaven Intermediate (DeSoto County Schools, Mississippi)
Spring Creek Elementary (Richardson ISD, Texas)
Spring Garden Elementary (H-E-B ISD, Texas)
Springhead Elementary (Hillsborough County Public Schools, Florida)
St Martin Upper Elementary (Jackson County, Mississippi)
Stamping Ground Elementary (Scott County Schools, Kentucky)
Tarkington Elementary (Tarkington ISD, Texas)
Taylor Elementary (Burleson ISD, Texas)
Tioga Elementary (Tioga ISD, Texas)
Walt Disney Elementary (Alvin ISD, Texas)
Wilson Elementary (Hillsborough County Public Schools, Florida)
Wilson Elementary TX (Coppell ISD, Texas)
My school isn't listed

School Name & City

* Student First Name

* Student Last Name

* Grade

Please enter ONLY a number for Grade

* Gender

Male Female

* Birthdate

Shirt Size

* Student Address

Apartment No.

* City

* State

* Zip Code

Parent/Guardian 1

* First Name

* Last Name

* Mobile Phone

* May we have permission to text you with questions or additional updates

Yes No

* Email

Please enter only one valid email address

Permission to pick up student after club

Yes No

Would you be willing to volunteer in your student's Beach Club?

Yes No

Church Information

* Do you attend church?

Yes No

Name of church

If you don't attend church, what is your religious preference?

Student Pickup (Please complete if plan to be in-person)

My student will be picked up

Yes No

My student has permission to walk home

Yes No

My student has permission to ride their bike home

Yes No

My student attends the after-school child care after Beach Club

Yes No

Student Medical/Allergies

Student Food Allergies?

Student Medical Needs?

Parent/Guardian 2

First Name

Last Name

Mobile Phone

Email

Please enter only one valid email address

Permission to pick up student after club

Yes No

Additional Emergency Contact Required for In-Person Beach Club, (in the event parents/guardians cannot be reached during club)

First Name

Last name

Mobile Phone

Permission to pick up student after club

Yes No

In addition to parent/guardian and emergency contact, my student has permission to be picked up by

From time to time KiDs Beach Club® or the partnering church may take photographs/video to capture the fun kids have at Beach Club.

Information provided on this form will be provided to KiDs Beach Club® and the local partnering church. We promise to only send a reasonable amount of communication each month. You may unsubscribe at any time, beginning with our first contact.

T-shirts are provided at the discretion of the partnering church.

With my electronic signature below, I certify I am the parent, guardian or other adult with legal parental authority to complete this registration form, and give my permission as a parent or legal guardian for this student to attend Beach Club. I have reviewed, understand and agree to the KBC Privacy Policy and the Authorization and Release of Liability.

* Type Full Name

* Type Email

Student Registration Form