ECC Service Registration

Registration for Eastside Community Church Service

Please fill out the form carefully for registration for your free gift.
This registration is primarily to let us know how many people to expect in the service for seating and to allow our Children's workers notification of new children present.
Name

First NameLast Name
How many people that are part of your household are coming with you to church (including yourself)?
Do you have kids joining kids church (2nd-4th grade) and how many?
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email address
example@example.com
Phone Number

Area CodePhone Number
Additional Comments
Should be Empty:

Registration for Eastside Community Church Service