Make sure the above information is the student's. Please fill in the parent contact details here. *
1. Parent first and last name
Gender *
Select… Male Female
Grade *
Select… Pre-K Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade
School
Select… Lakeshore Middle School White Pines Intermediate School Other - Middle School Spring Lake Schools Fruitport Schools Macatawa Bay Middle School Homeschool Grand Haven Schools Walden Green Montessori West Michigan Academy of Arts Allendale Schools Mona Shores Schools Zeeland Schools Holland Schools Western Michigan Christian Calvary Christian Schools Spring Lake Schools Fruitport Schools Homeschool Grand Haven Schools Allendale Schools Mona Shores Schools Other - High School West Ottawa High School Zeeland Schools Holland Schools Western Michigan Christian Calvary Christian Schools
Medical Note
Allergies or health diagnosis to be aware of:
Photo Release - By checking this box, you verify you have read and agree to the following statement. *
Radiant Church may use photos and recordings of students for various purposes, such as newsletters, websites, and social media. Checking the box implies consent to use your child's image or likeness, with the assurance that names will not be attached to the images or audio/video recordings.
Select… Yes No
Submit
