AC RegistrationChild's NameAddressSchoolGrade as of September 2023 (K-5 only)Home ChurchChild's BirthdayYour NameYour Relation to ChildYour EmailYour Phone NumberEmergency ContactEmergency Contact Phone NumberLakeview 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:Other than yourself, who do you approve to pick up your child?Submit
