Wiggle Church Interest

Wiggle Church Interest Form

Wiggle Church is worship designed especially for young children and their grown-ups! Wiggle Church gives you time together to explore faith, make new friends, and play with your young ones!
Child Name*

First NameLast Name
Child Birthday

MonthDayYear
Baptized?*
Child's School
Medical or health concerns (Food allergies, etc.)
Parent 1

First NameLast Name
Phone Number
Please enter a valid phone number.
Parent 2

First NameLast Name
Phone Number
Please enter a valid phone number.
Family Email*
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Where is your "home church"? *
Should be Empty:

Wiggle Church Interest Form