Sunday School at 9AM & Worship at 10AM
These questions allow us to provide the best experience and safest environment for all our participants within the ministry. Our church leaders and ministry volunteers will respect your family's right to privacy. Any information shared is communicated directly with those caring for your family member and only on a "need to know" basis. If you have any questions, please contact Sandy Valle for more information.

Sandy's cell number is 302-690-6037 and her email is sandy@cornerstonepca.com

Child's Information

Mother's Information


Father's Information


Sibling Information

Tell us about your child



Allergies and Food Sensitivities




Physical Health Information



Spiritual and Church Information