Home
Sunday Worship
Announcements
Calendar
Camping
SHINE
Sunday School
Sunday School Form
Confirmation
Bell Choir
Scholarships
Garden Plots
Policies and Procedures
  
SHINE Registration for 2017-18
One form may be submitted per family in SHINE. We start with those who are age 2 by September 1st of 2017 and go through 6th graders. If your family has more than 6 children involved, you will need to fill out a second form. Thank you.

*indicates required fields 
  *Parents' Names:
  *Mailing Address:
  *Home Phone:
  *Contact Phone on Wednesday Nights:
  *Emergency Contact Person:
  *Relationship to Student:
  *Emergency Contact Phone:
  *Any concerns, special needs or allergies?:
  *Permission to Use Photos of Child(ren):  Yes, I give permission for pictures to be used.
 No, I do not want my child(ren)'s pictures to be used.
 Want to confirm what they are used for first.
  *Email Address:
  *Child's Name:
  *Date of Birth (MM/DD/YY):
  *Current Age/Grade Enrolled:
  *T-shirt Information:
  *1st Child's Registration Fee: $5 min:  $0 Minimum
 $5 Full Registration
 Partial/Need Scholarship
  2nd Child's Name:
  2nd Child's Date of Birth (MM/DD/YY):
  2nd Child's Current Age/Grade Enrolled:
  2nd Child's T-shirt Information:
  2nd Registration Fee: $5 min:  $0 Minimum
 $5 Full Registration
 Partial/Need Scholarship
  3rd Child's Name:
  3rd Child's Date of Birth (MM/DD/YY):
  3rd Child's Current Age/Grade Enrolled:
  3rd Child's T-Shirt Information:
  3rd Registration Fee: $5 min:  $0 Minimum
 $5 Full Registration
 Partial/Need Scholarship
  4th Child's Name:
  4th Child's Date of Birth (MM/DD/YY):
  4th Child's Current Age/Grade Enrolled:
  4th Child's T-Shirt Information:
  4th Registration Fee: $5 min:  $0 minimum
 $5 Full Registration
 Partial/Need Scholarship
  5th Child's Name:
  5th Child's Date of Birth (MM/DD/YY):
  5th Child's Current Age/Grade Enrolled:
  5th Child's T-Shirt Information:
  5th Registration Fee: $5 min.:  $0 Minimum
 $5Full Registration
 Partial/Need Scholarship
  6th Child's Name:
  6th Child's Date of Birth (MM/DD/YY):
  6th Child's Current Age/Grade Enrolled:
  6th Child's T-Shirt Information:
  6th Registration Fee: $5 min.:  $0 Minimum
 $5 Full Registration
 Partial/Need Scholarship

The $5 registration fee includes a t-shirt and a small snack for each child at Shine every night as well. After filling in the details click on the SUBMIT button.
Home | Sunday Worship | Announcements | Calendar | Camping
Site Map