Glenwood Community Church

Class Registration

After completing your family's initial registration, you will be ready to check your child/students in on Sunday.

Parent/Guardian

First Name *

Last Name *

Email *

Email Location

Phone Number *

Phone Type

Phone Number 2

Phone 2 Type

Household Name

Street Address

Street Address Line 2

City

State/Province

Postal Code

I'm New

I’m new to Glenwood and I would like to know more about the church and how I can get involved?

Parent/Guardian 2 (if applicable)

First Name

Last Name

Email Location

Phone Number

Phone Type

Phone Location

Phone Number 2

Phone 2 Type

Phone 2 Location

Number of Children/Students in Infants-High School? *

If you need to register more than 5 children/students, please fill out the form again.

Child/Student 1

First Name *

Last Name *

Gender *

Birth Date *

Month

Day

Year

Age in Years/Months *

Example: (2 years, 3 months) (5 years, 7 months)

Grade

Relationship to Parent/Guardian *

Relationship To Parent/Guardian 2

Phone Number

Phone Type

We are most likely to attend:

Both Hours

1st Hour

2nd Hour

Is there any information that would be helpful for your child’s teachers to know?

Child/Student 2

First Name *

Last Name *

Gender *

Birth Date *

Month

Day

Year

Age in Years/Months *

Example: (2 years, 3 months) (5 years, 7 months)

Grade

Relationship to Parent/Guardian: *

Relationship To Parent/Guardian 2

Phone Number

Phone Type

We are most likely to attend:

Both Hours

1st Hour

2nd Hour

Is there any information that would be helpful for your child’s teachers to know?

Child/Student 3

First Name *

Last Name *

Gender *

Birth Date *

Month

Day

Year

Age in Years/Months *

Example: (2 years, 3 months) (5 years, 7 months)

Grade

Relationship to Parent/Guardian: *

Relationship To Parent/Guardian 2

Phone Number

Phone Type

We are most likely to attend:

Both Hours

1st Hour

2nd Hour

Is there any information that would be helpful for your child’s teachers to know?

Child/Student 4

First Name *

Last Name *

Gender *

Birth Date *

Month

Day

Year

Age in Years/Months *

Example: (2 years, 3 months) (5 years, 7 months)

Grade

Relationship to Parent/Guardian: *

Relationship To Parent/Guardian 2

Phone Number

Phone Type

We are most likely to attend:

Both Hours

1st Hour

2nd Hour

Is there any information that would be helpful for your child’s teachers to know?

Child/Student 5

First Name

Last Name

Gender

Birth Date

Month

Day

Year

Age in Years/Months *

Example: (2 years, 3 months) (5 years, 7 months)

Grade

Phone Number

Phone Type

Relationship to Parent/Guardian

Relationship To Parent/Guardian 2

We are most likely to attend:

Both Hours

1st Hour

2nd Hour

Is there any information that would be helpful for your child’s teachers to know?

I would like to give permission for other family members/guardians to pick up my child(ren): *

YES

NOTE: Only siblings 7th grade and older may drop off/pick up a child with parent permission. Even with parent permission, teachers may still ask the listed adult relatives or guardians for photo ID. When you select YES, you will be able to list approved person below.

I give permission to the following relative/guardians to pick up my child(ren) from class:

Leave this field blank

Class Registration

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Class Registration

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