New Parent & Student Registration

How It Works
After registration has been completed, an IBC Youth Parent Account will be created for you. You will receive a confirmation email that will contain a temporary password to login to your Youth Parent Account. Login to your Youth Parent Account to quickly register your students for future Youth Group activities, adventures, updating student information and adding students to your account.

NOTE:
If you already have a Parent Account and need to register students for Youth events, please use the Account Login page to access your account.

Leave this field blank if you are a person!

Parent/Guardian Information

First Name

Last Name

Address

City

State

Zip

Email

Primary Telephone

Alternate Telephone

Emergency Contact 1

Emergency Telephone 1

Emergency Contact 2

Emergency Telephone 2

 

Authorized Pick Up

Authorized Adult 1 Parent/Guardian named above

Authorized Adult 2


INSTRUCTIONS:

Register up to six (6) new students at once under your parent account by completing the student information sections below. After completing the first student's information, to register additional students, check the appropriate box for student 2, 3, 4, 5 or 6 and provide the required information for each.

Student Information

First Name

Last Name

Gender

Birth Date / /

Grade Completed

Medical Notes

T-Shirt Size

IBC Member

No Church

Other Church Name

IBC Referral


Add Student 2

First Name

Last Name

Gender

Birth Date / /

Grade Completed

Medical Notes

T-Shirt Size

IBC Member

No Church

Other Church Name

IBC Referral


Add Student 3

First Name

Last Name

Gender

Birth Date / /

Grade Completed

Medical Notes

T-Shirt Size

IBC Member

No Church

Other Church Name

IBC Referral


Add Student 4

First Name

Last Name

Gender

Birth Date / /

Grade Completed

Medical Notes

T-Shirt Size

IBC Member

No Church

Other Church Name

IBC Referral


Add Student 5

First Name

Last Name

Gender

Birth Date / /

Grade Completed

Medical Notes

T-Shirt Size

IBC Member

No Church

Other Church Name

IBC Referral


Add Student 6

First Name

Last Name

Gender

Birth Date / /

Grade Completed

Medical Notes

T-Shirt Size

IBC Member

No Church

Other Church Name

IBC Referral