EXPLORE BETHESDA

 


Bethesda Baptist Church 7950 N. Co. Rd. 650 E. Brownsburg, IN 46112
(317) 852-3101

Email: Offices | Pastoral Care



   
 

Bethesda Baptist Church
Awana Online Registration
   
** Please note the first four fields on the form below are Parent Information fields that are required.
**
 Each child you are registering must have a separate form completed.
**
 If you are paying your child's registration fees online, a $1.00 convenience fee has been added per child. Payment in person by check or cash does not incur that fee(s).
   

First Name
Last Name
Email Address
Phone Number
(Format: 999-999-9999)
Address/City/Zip
Family Church
Persons (other than parents) authorized to pick up my child
I am interested in helping
Child's Name (First, Middle, Last)
Nickname
Birth Date
Grade
School
Physician Name & Phone
Dentist Name & Phone
Allergies/Meds/Special Needs
Do you agree to the Terms and Conditions

A $23.00 fee is required (You can pay online or in person)

Please answer the simple math question below to submit the form.
2 + 2 =