GCC Church School Family Registration
Email address *
Would you like to recieve email updates?
Family Name/s Parent(s) *
Your answer
Name of Child/Birthdate/Grade/age
Your answer
Address
Your answer
phone number to be reached
best phone number in case needed during worship
Your answer
Preferred email(s)
Your answer
Alternate emergency contact
Name/relationship to child/phone
Your answer
Are there any family situations we should be aware of?
Your answer
Does your child have an IEP or 504 plan at school?
If so, please epxlain ways that we may provide the most effective and supportive Church School experience for your child
Your answer
Permission for GCC Church School
By checking the box you consent to your child being photographed and involved
Confidential Medical Report
Are there any health conditions we should be made aware of in working with your child?
Your answer
Is your child presently taking medication?
If yes please list
Your answer
Does your child have any allergies? *
Required
Please list any physical or special needs
Your answer
Typing your name below will act as your electronic signitature. *
I authorize the leader/s in charge of the above mentioned group where it is impractical to communicate with me, to arrange for my child to receive such medical or surgical treatment as the leader/s may deem necessary at any time during the activities of Glenview Community Church. I further authorize the use of Ambulance and/or anaesthetic by a qualified medical practitioner if in his/her judgement it is necessary. I accept responsibility for payment of all expenses associated with such treatment. I appreciate that every care will be taken by the leaders, and those connected with that group cannot be held responsible for personal injury, loss, or theft of property affecting my child
Your answer
Would you like to be added to the Children's ministry email blast?
Short messages go out 2 - 4 times a month
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