Untitled Header Image
 

Request Membership

Fill out the form below and click the Continue button at the bottom.


Please answer the following questions in requesting membership.  
 
 
 

** PLEASE LIST LAST NAMES OF EACH CHILD PARTICIPATING IN CORNERSTONE (ie.  John Smith).  

LIST ONLY THOSE STUDENTS WHO WILL ATTEND CLASSES AT CORNERSTONE.

 

Don't forget to click the "CONTINUE" button once complete.

indicates a required field



Yes No

Upload Family Photo (Optional) .jpg, .gif or .png

Children

Add Child







Yes No

Classifieds Emails:

Yes No Yes No

Additional Questions