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Children's Ministry Registration
Keep us up to date on your kiddos!
SUBMIT APPLICATION
Submit An Application
Please fill this form and we'll get back to you to give you the next steps.
If you'd prefer to print the application and return it to the office, download the application.
Child's First Name
Child's Last Name
Child's Gender
Male
Female
Child's Date of Birth
Grade in School
Phone Number
Cell Number
Email
Address
Parent/Guardian First Name
Parent/Guardian Last Name
Relationship to Child
Parent/Guardian Phone Number
Parent/Guardian #2 First Name
Parent/Guardian #2 Last Name
Relationship to Child
Parent/Guardian #2 Phone Number
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
2. Please list all allergies your child has (foods, bee sting, etc.) Are any of them life-threatening:
3. Does your child bring any medication to church or church activities? If yes, what?
4. Has your child ever had:
Seizures
Asthma
Homesickness
Other
Please explain if "Other"
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.
Thank you for signing up!
We'll get back to you as soon as possible.
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