Wednesday Night Live Registration

Wednesday Night Live Midweek Program for Kindergarten - 6th Grade and Youth 7th - 12th Grade

Please register by completing the form below or scroll down to download and print a paper form

Online Registration

Please complete one form for each child

* Indicates required field

Student's Name *

First

Last

Grade *

Choose One *

Male Female

Date of Birth *

Parent/Guardian Name *

First

Last

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone/Cellphone Number *

Emergency Contact *

First

Last

Phone Number for Emergency Contact *

Please list allergies or other concerns: *

Preferred Communication Method *

Fees: $20 per student or $30 per family with two or more students

Scholarships are available - please contact the Director of Children's Ministry to learn more.

Photo Release: Hope Community Church may use photos of students in print and online publications, presentations, website and social media. Please select an option below to either grant or decline your permission for your child's image to be used.

Select One *

Submit

Click to download and print registration form
File Size:	110 kb
File Type:	pdf

Download File