East Campus
Wednesday Night Registration
To register; Please fill out this form and click on the
Submit
button,
Child's name
Age
Birth date
Parent name(s)
Address
City
State
Zip Code
Home Phone
Cell Phone
E-mail
My child has the following allergies, medical concerns or needs:
We invite you to be a part of our ministry. Areas available:
3yrs-Kindergarten
Nursery Volunteer
1st-5th Grade
