Pre-Registration - Trinity Wellsprings Church

Parents Name*
First Last
Email*
Phone*
We will use this to notify you if we need you during service.
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Which Service Will You Attend?*
First Child's Name*
First Last
Date of Birth*
MM slash DD slash YYYY
Allergies or Special Needs?*
Next Child's Name
First Last
If Applicable
Date of Birth
MM slash DD slash YYYY
Allergies or Special Needs?
Next Child's Name
First Last
If Applicable
Date of Birth
MM slash DD slash YYYY
Allergies or Special Needs?
Next Child's Name
First Last
If Applicable
Date of Birth
MM slash DD slash YYYY
Allergies or Special Needs?