Guest Pre-Registration

Are you and your family checking out churches and planning on coming to Central Wesleyan this Sunday? If you have children and would like to save time checking them in for the first time on a Sunday morning, you can pre-register here! Just fill out this form, and we'll have all your information ready by Sunday (please get it to us by Friday afternoon) so you don't have to wait when you're here. We look forward to meeting your family! Pre-Registration Form Parent or Guardian First Name (*) Please let us know your first name. Parent or Guardian Last Name (*) Please let us know your last name. Cell Phone (*) Please enter a valid phone number (xxx-xxx-xxxx). Your Email (*) Please let us know your email address. Street Address (*) Please enter your address. City (*) Please enter your city. State MIALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Invalid Input Zip (*) Please enter your zipcode. Child #1 Childs First Name (*) Please let us know your child's first name. Childs Last Name (*) Please let us know your child's last name. Child's Gender (*) MaleFemale Please enter your child's gender. Birthdate (mm-dd-yyyy) Please enter your child's birthday. Child's Age/Grade (*) 3 years4 years5 yearsKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade Please enter your child's age/grade. Any allergies? If so, please list. (*) Please enter your child's allergies and/or medical conditions. Child #2 Childs First Name Please let us know your child's first name. Childs Last Name Please let us know your child's last name. Child's Gender MaleFemale Please enter your child's gender. Birthdate (mm-dd-yyyy) Please enter your child's birthday. Child's Age/Grade 3 years4 years5 yearsKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade Please enter your child's age/grade. Any allergies? If so, please list. Please enter your child's allergies and/or medical conditions. Child #3 Childs First Name Please let us know your child's first name. Childs Last Name Please let us know your child's last name. Child's Gender MaleFemale Please enter your child's gender. Birthdate (mm-dd-yyyy) Please enter your child's birthday. Child's Age/Grade 3 years4 years5 yearsKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade Please enter your child's age/grade. Any allergies? If so, please list. Please enter your child's allergies and/or medical conditions. Child #4 Childs First Name Please let us know your child's first name. Childs Last Name Please let us know your child's last name. Child's Gender MaleFemale Please enter your child's gender. Birthdate (mm-dd-yyyy) Please enter your child's birthday. Child's Age/Grade 3 years4 years5 yearsKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade Please enter your child's age/grade. Any allergies? If so, please list. Please enter your child's allergies and/or medical conditions. Child #5 Childs First Name Please let us know your child's first name. Childs Last Name Please let us know your child's last name. Child's Gender MaleFemale Please enter your child's gender. Birthdate (mm-dd-yyyy) Please enter your child's birthday. Child's Age/Grade 3 years4 years5 yearsKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade Please enter your child's age/grade. Any allergies? If so, please list. Please enter your child's allergies and/or medical conditions. Child #6 Childs First Name Please let us know your child's first name. Childs Last Name Please let us know your child's last name. Child's Gender MaleFemale Please enter your child's gender. Birthdate (mm-dd-yyyy) Please enter your child's birthday. Child's Age/Grade 3 years4 years5 yearsKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade Please enter your child's age/grade. Any allergies? If so, please list. Please enter your child's allergies and/or medical conditions. If you have more than 6 children, please submit this form and then fill it out again for any additional children. Thank you!