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Children's Church Registration 10/15/2017
Welcome to Westgate Church of Christ! We are please to have your kid(s) in Children's Church. Please fill out the form below so we can better get to know them. If you need any help or have any questions, please let the check-in staff know.
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* Indicates required question
Name (first and last)
*
Your answer
Age
3
4
5
6
7
8
9
10
Other:
Clear selection
Grade
If your child is too young for school, check pre-school.
Preschool
Kindergarten
1st
2nd
3rd
Clear selection
Does your child have any allergies we need to know about?
Peanut
Nuts
Wheat/gluten
Egg
Soy
Dairy
None, my child does not have food allergies
Other:
Clear selection
Is there anything else you feel we should know about your child?
(special needs, concerns, behaviors)
Your answer
Parent/Gaurdian Name
Your answer
Parent e-mail address
Your answer
Parent phone number
Your answer
Submit
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