Welcome to Westside Family Church.  By completing this form we can input your family's information in the children's check-in system prior to Sunday's service. Bring the confirmation page to the new family desk and we will have a barcode and information package ready for you.

Contact Donna Fulton at Dfulton@Westsidefamilychurch.com with registration questions.

Last Name of Head of Household
Contact Phone *
Contact Phone
NOTE: The last FOUR digits of this phone number will appear on the pager board during service if we need you. This phone number can be used at the kiosk to check-in your children.
Cell Phone Number
Cell Phone Number
You number can help us contact you regarding your children or church event information.
Enter the provider for your cell phone. IE.. AT&T, Sprint, Verizon, T-Mobil, etc.
Address *
Address
Primary Contact Name
Primary Contact Name
First and Last Name - If parent label is misplaced a picture ID will need to be produced to verify identity.
Primary Contact Birth Day
Primary Contact Birth Day
Spouse/Adult Name
Spouse/Adult Name
First and Last Name - If parent label is misplaced a picture ID will need to be produced to verify identity.
Child 1 Info
Child 1 Name
Child 1 Name
Child 1 Birth Day
Child 1 Birth Day
Please double check the year of birth entry before submitting, we want to make sure your child will be assigned to the correct location.
Please list any allergy or special needs our teachers should be aware of.
Child 2 Information
Child 2 Name
Child 2 Name
Child 2 Birth Day
Child 2 Birth Day
Please double check the year of birth entry before submitting, we want to make sure your child will be assigned to the correct location.
Please list any allergy or special needs our teachers should be aware of.
Child 3 Name
Child 3 Name
Child 3 Birth Day
Child 3 Birth Day
Please double check the year of birth entry before submitting, we want to make sure your child will be assigned to the correct location.
Please list any allergy or special needs our teachers should be aware of.
Child 4 Information
Child 4 Name
Child 4 Name
Child 4 Birth Day
Child 4 Birth Day
Please double check the year of birth entry before submitting, we want to make sure your child will be assigned to the correct location.
Please list any allergy or special needs our teachers should be aware of.