tHis Generation Registration

this generation

Annual registration update form
  • Parent / Guardian Information

  • Please provide the first and last name of the child's primary guardian.
  • Please provide the address associated with your primary residence.
  • Please provide your primary email address.
  • Image Release

  • I give consent to Westbrook Christian Church to publish photographs/video taken of me and/or my minor children, and our names, for use in any Westbrook Christian Church publications and media including but not limited to the Westbrook Christian Church website, programs and other advertising. I release Westbrook Christian Church from any expectation of confidentiality for the undersigned minor children and myself and I attest that I am the parent or legal guardian of the minors listed below and that I have the authority to authorize Westbrook Christian Church to use their images and names. I acknowledge that participation is voluntary and neither I nor the listed minor children will receive financial compensation. I further agree that any photographic/video participation in any form of media or publication produced by Westbrook Christian Church confers no rights of ownership whatsoever. I also understand there is no expiration date on this release. Please list all minors.
  • Add a new row
  • Child Information

  • Please add an additional row for each child within your family being registered. Using the provided fields, please indicate the full name, date of birth, school name and grade of your children.

    Of note, all school information should correspond to the 2015- 2016 School year.
    Full NameDate of BirthCurrent GradeName of School 
    Add a new row
  • Please provide any special instruction for the appropriate care and/or needs of your child(ren). (Enter "N/A" if not applicable.)
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