CLASS REGISTRATION

Sign up for our 11-week Fall Trimester that starts September 21st, 2023

Name(Required)
I agree to receive occasional text messages from Love INC.(Required)
Address(Required)
I am registering for the following course:(Required)
NOTE: Our campus is located at South Fellowship Church on Thursday evenings. Our no-cost dinner starts at 5:45pm and our classes all run from 6:30-8pm.
This is your invitation to participate in IMPACT. Through a caring and trusting class relationship, the mission of IMPACT is to walk alongside you and provide guidance as you work toward specific life goals. Our Facilitators and Discussion Group Leaders are caring and trained volunteers who have agreed to guide people toward greater self-sufficiency using a specific classroom curriculum. To achieve success and make the best use of your and our volunteers' time, certain requirements are important. Please review these statements and check the boxes beside each one.(Required)
I commit to the following:
Childcare Registration If you have kids ages 6 months to 12 years of age, we are happy to have them be a part of IMPACT Kids. Please complete the information below for each child you will be bringing to IMPACT. Our Registrar will follow up with you to gather more information about your children to ensure that we are 100% ready to host them at IMPACT Childcare!
Child 1
Will they participate in meal time?
Potty Trained?
Child 2
Will they participate in meal time?
Potty Trained?
Child 3
Will they participate in meal time?
Potty Trained?
Child 4
Will they participate in meal time?
Potty Trained?
Photo/Video/Story Release Permission(Required)
I hereby grant Love INC permission to publish photographs/videos and/or my story for editorial, advertising, and promotional purposes for use in any "Love Stories" print or electronic media. I agree that Love INC will own the copyright to these materials and Love INC will only use my first name. Check this box to permit the use of family info and photos.
Confidentiality Agreement(Required)
I will protect the confidentiality of all individuals- whether participant, volunteer, or staff. I agree that I will not disclose or discuss personal information that is shared in confidence, with anyone other than the appropriate Love INC/IMPACT leadership. I will not be involved in gossip or negative conversation that could reflect badly on those who are serving or being served, or on the ministry of Love INC/IMPACT; with the exception of if someone threatens to harm themselves or someone else (calling 911 may be the most appropriate response.)
This field is for validation purposes and should be left unchanged.