tHis Generation Registration

In an effort to ensure we have the most accurate and current information for our Kingdom Avenue, Avenue56 and Generation 4:8 participants, we have implemented an annual registration process. If you have a household member or members that participate in any of these ministries, please complete the from below. This information will be used to update our records. Your assistance in this is appreciated.

Questions or comments should be directed to Westbrook Christian Church at info@westbrookchurch.org.

Parent / Gaurdian Information
Parent / Gaurdian*
Please provide the first and last name of the child's primary gaurdian.
FirstLast
Address*
Please provide the address associated with your primary residence.
Street AddressAddress Line 2CityStateZIP Code
Email*
Please provide your primary email address.
Primary Phone Number*
Secondary Phone Number
Child Information
Child / Student Details*
Please add an additional row for each child within your family being registered. Using the provided fields, please indicate the full name, date of birth, school name and grade of your children.

Of note, all school information should correspond to the 2013- 2014 School year.
Full Name Date of Birth Current Grade Name of School
Additional Information/Special Instructions (if applicable):*
Please provide any special instruction for the appropriate care and/or needs of your child(ren). (Enter "N/A" if not applicable.)

Parent / Gaurdian Information

Child Information

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