Plan-A-Visit Form

1

What is your name?* This field is required.

First Name

Last Name

2

What is your email address?* This field is required.

example@example.com

3

What's the best mobile number to reach you?* This field is required.

Please enter a valid phone number.

6

What Sunday do you plan to attend?* This field is required.

Date

7

Is another adult coming with you?

YESNO

8

Please enter the name of each adult coming with you.Click "Save" after each entry. Then, click "Next" for the next section.

9

Are there any children coming with you?

YESNO

10

Please enter the information for your child/children.Click "Save" after each entry. Then, click "Next" for the next section.

11

Would you like to pre-register your child for their classes in Glow Kids?

YESNO

12

You have selected to pre-register your child/children for their classes in Glow Kids.

You can click the link below to complete their pre-registration! We can't wait to see them!

Click submit to finish this form.

13

Please verify that you are human* This field is required.