Calling all Westland Kids! Lets register for Sunday Morning!

Please fill out this form and click submit.

Child's Information-Please fill out 1 Form per child.

Name

*

Birthday (MM/DD/YYYY)

*

Age:

*

Gender:

*

Please select one option.

Male Female

Grade:

*

Please select one option.

Kindergarten 1st 2nd 3rd 4th 5th Nursery/Preschool

School

*

Allergies

*

Special Needs

*

Parent/Guardian Information

Father's Name

*

Father's Phone

*

Father's Email

*

This address will receive a confirmation email

Mother's Name

*

Mother's Phone

*

Mother's Email

*

This address will receive a confirmation email

Address

*

In Case of Accident I Prefer:

*

Please select one option.

Administer First Aid & Secure Medical Attention Needed Administer First Aid & Call Me Before Medical Attention is Given

By submitting this form, I understand that I will not hold Westland Baptist Church, Katy, responsible for any injuries or accident and I give my permission for my child/children to participate. I understand that any photography taken of my child/children is used only for WBC media.

Description

Please fill out this form and click submit.

Please Fix the Following

Close