ValleyView Alliance Church - SHINE Family Registration

SHINE Family Registration

We are happy that you are interested in registering your child for our Sunday morning children's program called SHINE! Our worship service starts at 10:45. However, you can sign in your child and pick up their name tag anytime after 10:30AM. Your child(ren) will remain with you in the sanctuary for the worship team portion of our service. Following the prayer, your child(ren) will be dismissed for an energized hour of learning about God and how to love others. Please email Crystal Bolton at cbolton@valleyviewcma.org if you have any questions.
Registration	*
Parent Name(s)	*
Street Address	*
City	*
State	*
Zip Code	*
Mobile Phone	*
Name of School District your family resides in	*
Your Email Address	*
Relationship to Child(ren)	*
Marital Status	*
Child 1: Name	*
Child 1: Gender	*
Child 1: Grade	*
Child 1: Age	*
Child 1: Date of Birth	*
Child 1: Allergies/Special Concerns
If you are registering more than one child, please fill out the additional questions below.
Child 2: Name
Child 2: Gender
Child 2: Grade	*
Child 2: Age
Child 2: Date of Birth
Child 2: Allergies/Health Concerns
Child 3: Name
Child 3: Gender
Child 3: Grade	*
Child 3: Age
Child 3: Date of Birth
Child 3: Allergies/Special Concerns
Child 4: Name
Child 4: Gender
Child 4: Grade	*
Child 4: Age
Child 4: Date of Birth
Child 4: Allergies/Special Concerns