CLC GRACE Unlimited Registration
2017-2018 GRACE Unlimited Registration Form

Grace Unlimited is an after-school program, for students in 2nd - 6th grade

Grace Unlimited is held on Wednesday afternoons from 3:15pm - 5:00pm at Christ Lutheran Church.

Students do not need to be members of CLC to attend GRACE Unlimited.

Student's Name: *
Your answer
Student's Grade (in September 2017): *
Student's Date of Birth: *
MM
/
DD
/
YYYY
Special Requirements (food allergies, medical conditions, etc.):
Your answer
Student Bussing: *
The student will be riding the GSL - GRACE Unlimited bus to CLC.
Student Bussing Exception: *
The student has the parents permission to walk from school to CLC. If the student does not have permission and they do not take the bus the parents will be notified.
Parent / Guardian Name (primary contact): *
Your answer
Primary Address (address + city): *
Your answer
Primary Phone: *
(Cell Phone Preferred)
Your answer
Primary Phone Text Messages: *
Primary Email Address:
Your answer
Parent / Guardian Name (secondary/emergency contact): *
Your answer
Secondary Address (address + city):
Only if address is different from primary address.
Your answer
Secondary Phone: *
Your answer
Secondary Phone Text Messages: *
GRACE Unlimited Updates: *
Would you like to receive updates, notifications and reminders about upcoming GRACE Unlimited events?
CLC Photo Release: *
Christ Lutheran Church would like to occasionally use photos and video of the Grace Unlimited students to promote the Grace Unlimited program. Uses might include a bulletin board display, church newsletter, church website, church Facebook page, press releases, event specific videos, etc. No names will be used on any of the displays or posts. I/We give CLC permission to include my student in photos which might be used for informational or promotional purposes for the 2017-2018 GRACE Unlimited school year.
Support:
I/We would be willing to help support the GRACE Unlimited program and student in the following ways:
Register Additional Student:
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms