2023-2024 GLOW Night Registration Child’s First and Last Name * Child’s Date of Birth * Child’s Age * Child’s Grade in School for 2023-2024 School Year * Younger than VPKVPKK1st2nd3rd4th5th Parent/Guardian First and Last Name * Parent/Guardian Address * Address Line 2 Parent/Guardian Email Address * Parent/Guardian Primary Evening Phone Number * Will your child be attending Wee Care? * YesNo Do you give GLOW Night Leadership permission to pick up your child from Wee Care for GLOW Night? * YesNo Does your child have any food allergies? If so, please list. * Please list any physical, emotional, or environmental allergy sensitivities or restrictions your child may have. * Do you have a home church? If yes, please list. * Do you give permission for photography of your child to be used on Fellowship Baptist Church social media accounts? * YesNo If you are human, leave this field blank. Submit
