Shine & Rise Volunteer/Child Registration 2026/2027

Volunteer/Child Registration
Join us for Shine & Rise starting September 16th @ 6:00pm-7:30pm.

Supper will be provided.

Parents please come to the door to pick your child(ren) up.

We will not have Shine & Rise on Parent/Teacher Conference Days, Inclement Weather Days, No School Days, or Holiday Breaks.

Offering will be collected for Operation Christmas Child Shoeboxes.

We're excited for another year of growing closer to Jesus!
Volunteer Information
Would you like to help us?
Role/Position
Volunteer Full Name

First NameLast Name
Volunteer Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Volunteer Email
example@example.com
Family Information
Parent(s) Full Name

First NameLast Name
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Who May Pick Up the Children?
Emergency Contact Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Photo Release Consent
Children Information
Child 1 Full Name
Child 1 Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Child 1 Current Age
Child 1 Grade completed in School
Child 1 Food Allergies
Child 1 Medical Information
Child 1 Other Notes
Child 2 Full Name
Child 2 Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Child 2 Current Age
Child 2 Grade completed in School
Child 2 Food Allergies
Child 2 Medical Information
Child 2 Other Notes
Child 3 Full Name
Child 3 Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Child 3 Current Age
Child 3 Grade completed in School
Child 3 Food Allergies
Child 3 Medical Information
Child 3 Other Notes
Child 4 Full Name
Child 4 Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Child 4 Current Age
Child 4 Grade completed in School
Child 4 Food Allergies
Child 4 Medical Information
Child 4 Other Notes
Should be Empty:

Volunteer/Child Registration

Volunteer Information

Family Information

Children Information