Registration and Activity Permit

Please fill out the following form completely and click "Submit."

Dates: September 2018 to May 2019

Times: 7:00 PM to 8:15 PM

I may be contacted at:

On nights between 7:00-8:30 PM, I may be contacted at:

By completing and submitting this form, I do herewith give permission for my child to participate in the King's Kids and Teen TRAC program of the Bible Baptist Church of Selah.

Church Phone: (509) 697-8895 | Fax: (509) 697-9824
Bible Baptist Church | 20 Tibbling Road | Selah, WA 98942