AC RegistrationChild's Name Address School Grade as of September 2022 (K-5 only) Home Church Child's Birthday Your Name Your Relation to Child Your Email Your Phone Number Emergency Contact Emergency Contact Phone Number Lakeview Church has permission to take my child's photograph for the purpose of church publications (website, bulletins, other ministry needs.) - Select -YesNoMy child has the following medical needs and/or food allergies: Submit
