2019/20 Family Registration Form

You can fill out this form in person on Sunday morning or submit it here. 

Father's Name *
Father's Name
Father's Phone
Father's Phone
Mother's Name *
Mother's Name
Mother's Phone
Mother's Phone
Address
Address
Which service will your child(ren) attend?
You may select both
Child 1 Name *
Child 1 Name
Child 1 DOB *
Child 1 DOB
Child 2 Name
Child 2 Name
Child 2 DOB
Child 2 DOB
Child 3 Name
Child 3 Name
Child 3 DOB
Child 3 DOB
Child 4 Name
Child 4 Name
Child 4 DOB
Child 4 DOB
Child 5 Name
Child 5 Name
Child 5 DOB
Child 5 DOB
Medical Release *
In the event that a parent or guardian cannot be found, I hereby grant my permission for an employee or agent of West End Community Church to authorize emergency medical treatment for the above named child/ren. I understand and agree that neither WECC nor its employees, agents, or adult supervisors will be financially or otherwise responsible in case of an accident, injury, and loss or damage of property in connection with this program, and, by my signature below, I agree to waive and hold WECC and its employees, agents and supervisors harmless from any and all such claims, damages or causes of action which may arise. Please click agree and then enter your name and the date to indicate your intent to sign this record and to be bound by its language which will be kept on file.
WECC CHILDREN’S MINISTRY IS SEEKING VOLUNTEERS ON SUNDAY MORNINGS! Please indicate if you would be willing to serve in any of the following areas:
Photography Release Waiver
I, hereby authorize West End Community Church and representatives, agents, employees, shareholders, officers, directors, partners and heirs to use my or my student’s image, photograph, or other artwork in one or more of its products, advertising, web page, and promotional material and fliers. I give WECC permission to use, copy or modify such materials for one or more of its products and advertising. I release West End Community Church from any claims or actions of liability that may arise from the use or adaptation of the Materials for WECC’s products and advertising. Furthermore, I understand that by signing this contract, I am releasing WECC from any liability for compensation for such materials.
Today's Date *
Today's Date