Faith Community Church
One Way Club Registration
Parent (Guardian) information
page 1 of 4
Children's Parents (Guardian) Name(s)
required
Street Address
required
City
required
State and Zip Code
required
What is your Home Phone Number or Main Contact Number?
required
Contact Information
page 2 of 4
Cell Phone #1
required
Whose phone is this?
required
Would you like to receive a test message of any cancelations, changes or messages for One-Way Club
select one
Select one
Yes
No
In order to send a group text, we need to also know your cell phone carrier (eg. U.S. Cellular, Verizon, etc.)
required
Cell phone #2
required
Whose phone is this?
required
Would you like to receive a text message of any cancelations, changes or messages for One Way Club?
select one
Select one
Yes
No
In order to send a group text, we need to also know your cell phone carrier (eg. U.S. Cellular, Verizon, etc.)
required
Would you like to receive information through an email address (eg. Up-dates for One Way Club and any upcoming events for children hosted by Faith Evangelical Free Church?)
select one
Select one
Yes
No
If yes, what is your email address?
required
What is your home church?
required
Emergency Contact Information
page 3 of 4
Who will be allowed to pick up your child (List names)?
required
Any Notes
required
Emergency Contact Phone Number (If the parent or guardian is not available)
required
Whose number is this?
required
Children Information
page 4 of 4
Name of Child #1
required
Gender
select one
Select one
Boy
Girl
Birthday (please include the year)
required
Grade in School
required
Allergies and things we need to know
required
Name of Child #2
required
Gender
select one
Select one
Boy
Girl
Birthday (Please include year)
required
Grade in School
required
Allergies and things we need to know
required
Name of Child #3
required
Gender
select one
Select one
Yes
No
Birthday (Please include year)
required
Grade in School
required
Allergies and things we need to know
required
Name of Child #4
required
Gender
select one
Select one
Boy
Girl
Birthday (Please include the year)
required
Grade in school
required
Allergies and things we need to know
required
* required
