Register Your Child

If a student has specific dietary restrictions, needs or allergies, please email secretary@gracehouma.org or call the church office at (985) 879-1865 after submitting this registration.

We found some errors when you submitted your information. Please see below and fill in the information needed.
Parent Personal Information
(xxx-xxx-xxxx)
(xxx-xxx-xxxx)
(xxx-xxx-xxxx)
Emergency Contact
(xxx-xxx-xxxx)
(xxx-xxx-xxxx)

(xxx-xxx-xxxx)

Other Information
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