Loving People into lasting relationships with God by connecting them to Jesus, family, and others.
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Children's Ministry Registration 2017 - 2018 School Year
*
Indicates required field
Childs Name
*
First
Last
Gender
*
Male
Female
Birthdate
*
Grade in School
*
Phone Number
*
Cell Number
*
Email
*
Street Address
*
City
*
State
*
Zip
*
Parent/Guardian Name
*
First
Last
Relationship to Child
*
Phone Number
*
Parent/Guardians Name
*
First
Last
Relationship to Child
*
Phone Number
*
Other People Authorized to pick me up:
*
1. I give permission that photos, videos, and sound bits taken during Children’s Ministry events with my child may be used for GLC events, promotional materials and/or photo albums
*
Yes
No
3. Does your child bring any medication to church or church activities? If yes, what?
*
5. Does your child have any physical, emotional, mental, or behavioral concerns or limitations that our staff should be aware of? If yes, please explain.
*
2. Please list all allergies your child has (foods, bee sting, etc.) Are any of them life-threatening:
*
4. Has your child ever had:
*
Seizures
Asthma
Homesickness
Other
Please explain if other:
*
Please share any additional information you would like to share about your child or family with us:
*
Submit
✕
Loving People into lasting relationships with God by connecting them to Jesus, family, and others.