Waumba Land/UpStreet - Child Registration Form
We're excited to have you and your family join us on an upcoming Sunday! In order to make your visit as smooth as possible, take a minute and fill out the form below. This will allow you to speed up checking in your kids and make it easy for everyone to get in the right place.When you arrive on-site just let one of our Guest Check-In team members know you're new and you filled out the form online. They'll be able to take great care of you from there.Thanks for planning to join us and see you Sunday!
Today's Date
*
-
Month
-
Day
Year
Date
Service Hour
*
9:30am
11:15am
Please check one
*
I am visiting
My info has changed
I am a regular attendee (enrol)
Parent/Guardian Information
(both parents if applicable)
Name
*
First Name
Last Name
Name (if applicable)
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
Province
Postal Code
Cell Phone
Please enter a valid phone number.
Home Phone
Please enter a valid phone number.
Email
*
example@example.com
Email
example@example.com
Child #1 Info
Name
*
First Name
Last Name
Check one:
*
Male
Female
Birthday
*
-
Month
-
Day
Year
Date
Age
*
Grade
*
Please Select
Infant
Pre-school
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Relationship to Child
*
Health Concerns or Other Instructions
Child #2 Info
Name
First Name
Last Name
Check one:
Male
Female
Birthday
-
Month
-
Day
Year
Date
Age
Grade
Please Select
Infant
Pre-school
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Relationship to Child
Health Concerns or Other Instructions
Child #3 Info
Name
First Name
Last Name
Check one:
Male
Female
Birthday
-
Month
-
Day
Year
Date
Age
Grade
Please Select
Infant
Pre-school
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Relationship to Child
Health Concerns or Other Instructions
Child #4 Info
Name
First Name
Last Name
Check one:
Male
Female
Birthday
-
Month
-
Day
Year
Date
Age
Grade
Please Select
Infant
Pre-school
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Relationship to Child
Health Concerns or Other Instructions
Register
Should be Empty: