Waumba Land/UpStreet - Child Registration Form

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*

MonthDayYear
Date
Service Hour*

9:30am11:15am
Please check one*

I am visitingMy info has changedI am a regular attendee (enrol)
Parent/Guardian Information

(both parents if applicable)
Name*

First NameLast Name
Name (if applicable)

First NameLast Name
Address*

Street Address

Street Address Line 2

CityProvince

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 NameLast Name
Check one:*

MaleFemale
Birthday*

MonthDayYear
Date
Age*
Grade*
Relationship to Child*
Health Concerns or Other Instructions
Child #2 Info
Name

First NameLast Name
Check one:

MaleFemale
Birthday

MonthDayYear
Date
Age
Grade
Relationship to Child
Health Concerns or Other Instructions
Child #3 Info
Name

First NameLast Name
Check one:

MaleFemale
Birthday

MonthDayYear
Date
Age
Grade
Relationship to Child
Health Concerns or Other Instructions
Child #4 Info
Name

First NameLast Name
Check one:

MaleFemale
Birthday

MonthDayYear
Date
Age
Grade
Relationship to Child
Health Concerns or Other Instructions
Should be Empty:

Waumba Land/UpStreet - Child Registration Form

Parent/Guardian Information

Child #1 Info

Child #2 Info

Child #3 Info

Child #4 Info