Wisdom Builders Enrollment Form

Wisdom Builders Registration Form

2024-2025
Parent Information

If you are a single parent, please enter your information twice.
Mother's Name*

First NameLast Name
Mother's Email Address*
example@example.com
Mother's Cell Phone Number*
Please enter a valid phone number.
Do you understand that this number will be used for Wisdom Builders texting information?*

Yes
Father's Name*

First NameLast Name
Father's Email Address*
example@example.com
Father's Phone Number*
Please enter a valid phone number.
Do you understand that this number will be used for Wisdom Builders texting information?*

Yes
Parent Photo Upload

Parent badges are required at Grace Church
Parent Photo Upload:
- One photo of Mom
- One photo of Dad
- The photo must be clear (not blurry, grainy, or fuzzy) against a plain background.
- The photo must be a full face-and-shoulders shot, squarely facing the camera.
- Do not wear dark glasses.
- Do not enhance your photo in any way (no lenses, filters, text, emojis, etc)
Additional Tips:
- Make sure your facial features and hair are visible. Excessive light, shadow, or busy backgrounds make your photo unacceptable for use.
- Do not scan a photo to upload.
- Do not submit a photo of a photo.
Format:
- Upload JPG or JPEG files only.
File Upload (both photos may be uploaded at the same time)*

Cancelof
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Names of immediate family members living at home*
Where do you attend church?*
How did you hear about Wisdom Builders?*

Testimony
Please write your testimony and explain upon what you base your salvation in Christ.*
Statement of Faith
We believe the Bible to be the verbally inspired Word of God and, as such, it is the sufficient and final authority for faith and practice.

We believe in the virgin birth of Jesus Christ and that He is truly God and truly man.

We believe that all men have sinned and are under the condemnation of death.

We believe that Jesus made the substitutionary sacrifice of His own life and that all who believe in Him have eternal life.

We believe in the eternal perseverance of all those who trust in the Lord Jesus.

We believe in the bodily resurrection of Jesus and His ascension into heaven, from which He will return to earth to establish His Kingdom.

We believe in believers' baptism as a witness to the true identification with Jesus Christ as our Savior.

We believe the church consists of believers who meet for worship, growth, and service to God.

We believe in the bodily resurrection of believers and non-believers: non-believers will be raised to eternity in hell, and believers to live with God forevermore.

We believe Biblical marriage is a covenant between one man and one woman under God.

We believe that God created male and female and that, in reality, scientifically and according to DNA, there are only two genders.
If there is any part of the Statement of Faith that you disagree with, write it in the blank below.
By clicking "yes" you agree what you have read and agree with the Statement of Faith listed above.*

YesNo
Signature of Parent/Guardian*

Clear

Photographer Picture/Video Release
I grant Wisdom Builders, LLC, its representatives, and employees the right to take photographs and videos of me, my child(ren), and my property in connection with the Wisdom Builders, LLC functions. I authorize Wisdom Builders, LLC, its assignees, and transferees to copyright, use, and publish the same in print and electronically. I agree that Wisdom Builders, LLC may use such photographs and videos of me or my child(ren) with or without my name or my child(ren)’s name(s) and for any lawful purpose, including, for example, such purposes as publicity, illustration, advertising, and web content.
I give my permission for my child(ren)s photos/videos to be used according to the Photographer Picture/Video Release stated above.*

YesNo
I give my permission for my child(ren)s photos to be used in the Wisdom Builders yearbook.*

YesNo
Signature of Parent*

Clear
Wisdom Builders Policy Pages
By signing below, I acknowledge that my family and I have read and fully understand the Wisdom Builder Policy Pages for 2024-2025 and agree to the terms and conditions. I agree to abide by these policies and ensure that my family members do as well, and I understand the consequences of not adhering to these policies.
Signature of Parent/Guardian*

Clear
Liability Waiver
On behalf of my spouse, my children, my family, and myself, to the extent that I can, I accept responsibility for any damages to persons or property at Grace Church caused by my spouse, my children, my family, or me. I agree to hold harmless and indemnify Grace Church, Wisdom Builders, LLC, and their independent contractors, employees, agents, officers, volunteers, and all others affiliated with Grace Church or Wisdom Builders for any allegations of negligence, strict liability, or any other theory of liability arising from being on the premises of Grace Church. I agree to hold harmless and indemnify Grace Church and Wisdom Builders, LLC and their independent contractors, employees, agents, officers, volunteers, and all others affiliated with Grace Church or Wisdom Builders, LLC, from any liability in authorizing emergency health care for any persons whomsoever from my family arising from activities on or adjacent to the premises of Grace Church.
By signing below, you agree with the Liability Waiver stated above.*

Clear
Name of Parent signing this form*
Date*

MonthDayYear
Date

In Case of Emergency

If I cannot be reached in the event of an emergency, the following person is authorized to act of my behalf.
Emergency Contact
Emergency Contact*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Relationship to Child(ren)*
Physician Information
Physician's Name*

First NameLast Name
Physician's Phone Number*
Please enter a valid phone number.
Permission for Staff to Administer Pain Medication
For pain management while at Wisdom Builders, my child(ren) can be given, by Wisdom Builders staff*

1-2 Tylenol1-2 IbuprofenMy child(ren) should not take any pain reliever while at Wisdom Builders
Wisdom Builders has my permission to authorize medical treatment for the child named above in the event of an emergency. I will not hold Wisdom Builders, LLC, Grace Church, their elders, employees, independent contractors, and volunteers responsible in an emergency.
Additional remarks or instructions:
Signature of Parent/Guardian*

Clear
Name of Parent signing this form*
Date*

MonthDayYear
Date

Child #1 Information
#1 Child's name*

First NameLast Name
#1 Child's grade as of the fall of 2024-2025*
#1 Child's date of birth*

MonthDayYear
Date
#1 Child's age*
#1 Child's email address (required for students in grades 3-12)
example@example.com
#1 Child's gender*

GirlBoy
#1 Child's allergies*
Type "none" if there are no allergy concerns
#1 Child's learning concerns*
Type "none" if there are no learning concerns
#1 Child's mental health concerns*
Type "none" if there are no mental health concerns
#1 Child's health concerns or physical limitations*
Type "none" if there are no health concerns or phyiscal limitations
#1 Child's medications to be taken while at Wisdom Builders and medical condition for which they are taken.*
Type "none" if your child will not be taking medication while at Wisdom Builders.
Child #1 Photo Upload

This photo will be used for name badges.
Child #1 Photo Upload:
- The photo must be clear (not blurry, grainy, or fuzzy) against a plain background.
- The photo must be a full face-and-shoulders shot, squarely facing the camera.
- Do not wear dark glasses.
- Do not enhance your photo in any way (no lenses, filters, text, emojis, etc)
Additional Tips:
- Make sure your facial features and hair are visible. Excessive light, shadow, or busy backgrounds make your photo unacceptable for use.
- Do not scan a photo to upload.
- Do not submit a photo of a photo.
Format:

Upload JPG or JPEG files only.
Photo Tips from the Yearbook Advisor
File Upload*

Cancelof
Parental Consent
Wisdom Builders, LLC, plans to hold programs and activities at Grace Church throughout the year. I hereby consent for the below-named child to attend and participate in the programs and activities of Wisdom Builders, LLC. I further waive and release any and all rights for damages I may have or may incur against Wisdom Builders, LLC, Grace Church, their elders, employees, members, independent contractors, and volunteers for any injuries suffered by the child in connection with participation, except those that result from criminal acts or omissions or reckless endangerment. I attest and verify that this child is physically fit for the programs and activities of Wisdom Builders and all other ordinary activities that might reasonably be associated with such activities. I consent to emergency medical care and transportation in case of a medical emergency.
By signing below, my child (listed above) has permission to attend Wisdom Builders, LLC.*

Clear
Name of Parent signing this form*
Date*

MonthDayYear
Date

Do you have another child to register?*

YesNo

Child #2 Information
#2 Child's name*

First NameLast Name
#2 Child's grade as of the fall of 2024-2025*
#2 Child's date of birth*

MonthDayYear
Date
#2 Child's age*
#2 Child's email address (required for students in grades 3-12)
example@example.com
#2 Child's gender*

GirlBoy
#2 Child's allergies*
Type "none" if there are no allergy concerns
#2 Child's learning concerns*
Type "none" if there are no learning concerns
#2 Child's mental health concerns*
Type "none" if there are no mental health concerns
#2 Child's health concerns or physical limitations*
Type "none" if there are no health concerns or phyiscal limitations
#2 Child's medications to be taken while at Wisdom Builders and medical condition for which they are taken.*
Type "none" if your child will not be taking medication while at Wisdom Builders.
Child #2 Photo Upload

This photo will be used for name badges.
Child #2 Photo Upload:
- The photo must be clear (not blurry, grainy, or fuzzy) against a plain background.
- The photo must be a full face-and-shoulders shot, squarely facing the camera.
- Do not wear dark glasses.
- Do not enhance your photo in any way (no lenses, filters, text, emojis, etc)
Additional Tips:
- Make sure your facial features and hair are visible. Excessive light, shadow, or busy backgrounds make your photo unacceptable for use.
- Do not scan a photo to upload.
- Do not submit a photo of a photo.
Format:

Upload JPG or JPEG files only.
File Upload*

Cancelof
Parental Consent
Wisdom Builders, LLC, plans to hold programs and activities at Grace Church throughout the year. I hereby consent for the below-named child to attend and participate in the programs and activities of Wisdom Builders, LLC. I further waive and release any and all rights for damages I may have or may incur against Wisdom Builders, LLC, Grace Church, their elders, employees, members, independent contractors, and volunteers for any injuries suffered by the child in connection with participation, except those that result from criminal acts or omissions or reckless endangerment. I attest and verify that this child is physically fit for the programs and activities of Wisdom Builders and all other ordinary activities that might reasonably be associated with such activities. I consent to emergency medical care and transportation in case of a medical emergency.
By signing below, my child (listed above) has permission to attend Wisdom Builders, LLC.*

Clear
Name of Parent signing this form*
Date*

MonthDayYear
Date

Do you have another child to register?*

YesNo

Child #3 Information
#3 Child's name*

First NameLast Name
#3 Child's grade as of the fall of 2024-2025*
#3 Child's date of birth*

MonthDayYear
Date
#3 Child's age*
#3 Child's email address (required for students in grades 3-12)
example@example.com
#3 Child's gender*

GirlBoy
#3 Child's allergies*
Type "none" if there are no allergy concerns
#3 Child's learning concerns*
Type "none" if there are no learning concerns
#3 Child's mental health concerns*
Type "none" if there are no mental health concerns
#3 Child's health concerns or physical limitations*
Type "none" if there are no health concerns or phyiscal limitations
#3 Child's medications to be taken while at Wisdom Builders and medical condition for which they are taken.*
Type "none" if your child will not be taking medication while at Wisdom Builders.
Child #3 Photo Upload

This photo will be used for name badges.
Child #3 Photo Upload:
- The photo must be clear (not blurry, grainy, or fuzzy) against a plain background.
- The photo must be a full face-and-shoulders shot, squarely facing the camera.
- Do not wear dark glasses.
- Do not enhance your photo in any way (no lenses, filters, text, emojis, etc)
Additional Tips:
- Make sure your facial features and hair are visible. Excessive light, shadow, or busy backgrounds make your photo unacceptable for use.
- Do not scan a photo to upload.
- Do not submit a photo of a photo.
Format:

Upload JPG or JPEG files only.
File Upload*

Cancelof
Parental Consent
Wisdom Builders, LLC, plans to hold programs and activities at Grace Church throughout the year. I hereby consent for the below-named child to attend and participate in the programs and activities of Wisdom Builders, LLC. I further waive and release any and all rights for damages I may have or may incur against Wisdom Builders, LLC, Grace Church, their elders, employees, members, independent contractors, and volunteers for any injuries suffered by the child in connection with participation, except those that result from criminal acts or omissions or reckless endangerment. I attest and verify that this child is physically fit for the programs and activities of Wisdom Builders and all other ordinary activities that might reasonably be associated with such activities. I consent to emergency medical care and transportation in case of a medical emergency.
By signing below, my child (listed above) has permission to attend Wisdom Builders, LLC.*

Clear
Name of Parent signing this form*
Date*

MonthDayYear
Date

Do you have another child to register?*

YesNo

Child #4 Information
#4 Child's name*

First NameLast Name
#4 Child's grade as of the fall of 2024-2025*
#4 Child's date of birth*

MonthDayYear
Date
#4 Child's age*
#4 Child's email address (required for students in grades 3-12)
example@example.com
#4 Child's gender*

GirlBoy
#4 Child's allergies*
Type "none" if there are no allergy concerns
#4 Child's learning concerns*
Type "none" if there are no learning concerns
#4 Child's mental health concerns*
Type "none" if there are no mental health concerns
#4 Child's health concerns or physical limitations*
Type "none" if there are no health concerns or phyiscal limitations
#4 Child's medications to be taken while at Wisdom Builders and medical condition for which they are taken.*
Type "none" if your child will not be taking medication while at Wisdom Builders.
Child #4 Photo Upload

This photo will be used for name badges.
Child #4 Photo Upload:
- The photo must be clear (not blurry, grainy, or fuzzy) against a plain background.
- The photo must be a full face-and-shoulders shot, squarely facing the camera.
- Do not wear dark glasses.
- Do not enhance your photo in any way (no lenses, filters, text, emojis, etc)
Additional Tips:
- Make sure your facial features and hair are visible. Excessive light, shadow, or busy backgrounds make your photo unacceptable for use.
- Do not scan a photo to upload.
- Do not submit a photo of a photo.
Format:

Upload JPG or JPEG files only.
File Upload*

Cancelof
Parental Consent
Wisdom Builders, LLC, plans to hold programs and activities at Grace Church throughout the year. I hereby consent for the below-named child to attend and participate in the programs and activities of Wisdom Builders, LLC. I further waive and release any and all rights for damages I may have or may incur against Wisdom Builders, LLC, Grace Church, their elders, employees, members, independent contractors, and volunteers for any injuries suffered by the child in connection with participation, except those that result from criminal acts or omissions or reckless endangerment. I attest and verify that this child is physically fit for the programs and activities of Wisdom Builders and all other ordinary activities that might reasonably be associated with such activities. I consent to emergency medical care and transportation in case of a medical emergency.
By signing below, my child (listed above) has permission to attend Wisdom Builders, LLC.*

Clear
Name of Parent signing this form*
Date*

MonthDayYear
Date

Do you have another child to register?*

YesNo

Child #5 Information
#5 Child's name*

First NameLast Name
#5 Child's grade as of the fall of 2024-2025*
#5 Child's date of birth*

MonthDayYear
Date
#5 Child's age*
#5 Child's email address (required for students in grades 3-12)
example@example.com
#5 Child's gender*

GirlBoy
#5 Child's allergies*
Type "none" if there are no allergy concerns
#5 Child's learning concerns*
Type "none" if there are no learning concerns
#5 Child's mental health concerns*
Type "none" if there are no mental health concerns
#5 Child's health concerns or physical limitations*
Type "none" if there are no health concerns or phyiscal limitations
#5 Child's medications to be taken while at Wisdom Builders and medical condition for which they are taken.*
Type "none" if your child will not be taking medication while at Wisdom Builders.
Child #5 Photo Upload:
- The photo must be clear (not blurry, grainy, or fuzzy) against a plain background.
- The photo must be a full face-and-shoulders shot, squarely facing the camera.
- Do not wear dark glasses.
- Do not enhance your photo in any way (no lenses, filters, text, emojis, etc)
Additional Tips:
- Make sure your facial features and hair are visible. Excessive light, shadow, or busy backgrounds make your photo unacceptable for use.
- Do not scan a photo to upload.
- Do not submit a photo of a photo.
Format:

Upload JPG or JPEG files only.
Photo Tips from the Yearbook Advisor
Child #5 Photo Upload

This photo will be used for name badges.
File Upload*

Cancelof
Parental Consent
Wisdom Builders, LLC, plans to hold programs and activities at Grace Church throughout the year. I hereby consent for the below-named child to attend and participate in the programs and activities of Wisdom Builders, LLC. I further waive and release any and all rights for damages I may have or may incur against Wisdom Builders, LLC, Grace Church, their elders, employees, members, independent contractors, and volunteers for any injuries suffered by the child in connection with participation, except those that result from criminal acts or omissions or reckless endangerment. I attest and verify that this child is physically fit for the programs and activities of Wisdom Builders and all other ordinary activities that might reasonably be associated with such activities. I consent to emergency medical care and transportation in case of a medical emergency.
By signing below, my child (listed above) has permission to attend Wisdom Builders, LLC.*

Clear
Name of Parent signing this form*
Date*

MonthDayYear
Date

Do you have another child to register?*

YesNo

Child #6
#6 Child's name*

First NameLast Name
#6 Child's grade as of the fall of 2024-2025*
#6 Child's date of birth*

MonthDayYear
Date
#6 Child's age*
#6 Child's email address (required for students in grades 3-12)
example@example.com
#6 Child's gender*

GirlBoy
#6 Child's allergies*
Type "none" if there are no allergy concerns
#6 Child's learning concerns*
Type "none" if there are no learning concerns
#6 Child's mental health concerns*
Type "none" if there are no mental health concerns
#6 Child's health concerns or physical limitations*
Type "none" if there are no health concerns or phyiscal limitations
#6 Child's medications to be taken while at Wisdom Builders and medical condition for which they are taken.*
Type "none" if your child will not be taking medication while at Wisdom Builders.
Child #6 Photo Upload

This photo will be used for name badges.
Child #6 Photo Upload:
- The photo must be clear (not blurry, grainy, or fuzzy) against a plain background.
- The photo must be a full face-and-shoulders shot, squarely facing the camera.
- Do not wear dark glasses.
- Do not enhance your photo in any way (no lenses, filters, text, emojis, etc)
Additional Tips:
- Make sure your facial features and hair are visible. Excessive light, shadow, or busy backgrounds make your photo unacceptable for use.
- Do not scan a photo to upload.
- Do not submit a photo of a photo.
Format:

Upload JPG or JPEG files only.
Photo Tips from the Yearbook Advisor
File Upload*

Cancelof
Parental Consent
Wisdom Builders, LLC, plans to hold programs and activities at Grace Church throughout the year. I hereby consent for the below-named child to attend and participate in the programs and activities of Wisdom Builders, LLC. I further waive and release any and all rights for damages I may have or may incur against Wisdom Builders, LLC, Grace Church, their elders, employees, members, independent contractors, and volunteers for any injuries suffered by the child in connection with participation, except those that result from criminal acts or omissions or reckless endangerment. I attest and verify that this child is physically fit for the programs and activities of Wisdom Builders and all other ordinary activities that might reasonably be associated with such activities. I consent to emergency medical care and transportation in case of a medical emergency.
By signing below, my child (listed above) has permission to attend Wisdom Builders, LLC.*

Clear
Name of Parent signing this form*
Date*

MonthDayYear
Date

If you have any more children to register, please come back and begin the registration process again until all of your children have been registered.

If you believe you have entered all information accurately, please click the "submit" button to complete the registration process.
Should be Empty:

Wisdom Builders Registration Form

Parent Information

Parent Photo Upload

Testimony

Statement of Faith

Photographer Picture/Video Release

Wisdom Builders Policy Pages

Liability Waiver

In Case of Emergency

Emergency Contact

Physician Information

Permission for Staff to Administer Pain Medication

Child #1 Information

Child #1 Photo Upload

Parental Consent

Child #2 Information

Child #2 Photo Upload

Parental Consent

Child #3 Information

Child #3 Photo Upload

Parental Consent

Child #4 Information

Child #4 Photo Upload

Parental Consent

Child #5 Information

Child #5 Photo Upload

Parental Consent

Child #6

Child #6 Photo Upload

Parental Consent