The Web Registration Form

The Web

The Web is a Bible-based after-school program for grades K-5th held every Wednesday from 3:30-5pm. We are located at the Spider Lake Church main street campus. Pickup of your students available by our leaders directly after school at Hayward Primary and Intermediate locations. We walk students from school to our church, which is conveniently located right on main street in Hayward. This program will have Bible lessons, fun activities, games, and a meal provided for each student at the end.
How many children are you registering?
Child Information
First Child
Child's Name

First NameLast Name
Child's Birth Date

MonthDayYear
Last Grade Completed
Does the child attend Sunday school anywhere?
Where?
Medical or other information we may need to know about the child (including food allergies).
Second Child
Child's Name

First NameLast Name
Child's Birth Date

MonthDayYear
Last Grade Completed
Does the child attend Sunday school anywhere?
Where?
Medical or other information we may need to know about the child (including food allergies).
Third Child
Child's Name

First NameLast Name
Child's Birth Date

MonthDayYear
Last Grade Completed
Does the child attend Sunday school anywhere?
Where?
Medical or other information we may need to know about the child (including food allergies).
Fourth Child
Child's Name

First NameLast Name
Child's Birth Date

MonthDayYear
Last Grade Completed
Does the child attend Sunday school anywhere?
Where?
Medical or other information we may need to know about the child (including food allergies).
Child Release Information
Parent/Legal Guardian Name

First NameLast Name
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Names of Persons to which the child (children) may be released to each night after The Web (Please provide at least two)

First NameLast Name
Full Name

First NameLast Name
Full Name

First NameLast Name
Full Name

First NameLast Name
Does your child (children) need transportation from Hayward Primary or Hayward Intermediate school to the church every Wednesday directly after-school?
Are there any persons to which the child (children) may NOT be released to?
Who may you child (children) NOT be released to?
Emergency Contact 1 (other than parent/guardian listed above)

First NameLast Name
Emergency Contact 1 Phone Number

Area CodePhone Number
Emergency Contact 2 (other than parent/guardian listed above)

First NameLast Name
Emergency Contact 2 Phone Number

Area CodePhone Number
Media Release
By clicking the box below, I hereby Give Permission for photographs and/or video in which my child appears in to be used by the church in printed and/or electronic media, including the church's website.
Should be Empty:

The Web

Child Information

First Child

Second Child

Third Child

Fourth Child

Child Release Information

Media Release