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impacted in Beach Club®

Student Registration Form

KBC Student Registration

Please enter ONLY a number for Grade


Parent/Guardian 1

Please enter only one valid email address


Church Information

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

Student Medical/Allergies

Parent/Guardian 2

Please enter only one valid email address


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


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.

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KiDs Beach Club® is a FREE after-school Bible club led by dedicated Christian volunteers and meets in your student's school for one hour, one day a week.

Beach Club® is a fun pre-teen centered program affiliated with the ministry of KiDs Beach Club®, a non-denominational faith-based organization. Parents and legal guardians are always welcome to attend and are invited to volunteer in Beach Club®.

We’re looking forward to seeing your child in club! Your child will develop respectable character traits and grow in the image of Christ while having fun with their peers in engaging, interactive Beach Clubs®. They’ll love it! We can’t wait to see how your child thrives. To register your child, please complete the form below.

Want to register as a volunteer?

 CLICK HERE

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