First time guests only

First time guests only

We’re so glad you’re planning to visit The Well Kids! To make your first visit smooth and enjoyable, we invite you to fill out this form ahead of time—it’ll help speed things up at the time of Kids Church. When you arrive, find us under the “New to The Well” sign or find one of our ushers. We can’t wait to welcome you and your family!
Visitor information:

Please fill out a form for each child you are registering for The Well Kids.
Parent or Legal Guardian*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile Number*
E-mail*
example@example.com
Child's Name

First NameLast Name
Date of Birth*

MonthDayYear
Gender*

MaleFemale
Is there important information you would like to provide concerning your child? (allergies, custody or authorized pick-up concerns)*
Does this child have disabilities that require support?*
One of our church leaders will be in touch to learn more and complete the registration for this child. Please complete the remainder of the form and submit using the "Send" button.
Should be Empty: