WE BELIEVE

IN THE POWER OF PRAYER

Submit Prayer Requests

Prayers submitted here are circulated to members of Eastside Church for individual prayer and will be included in the weekly Eastside prayer meetings.

Eastside Children's Church Registration

Parent/Guardian Address*

,  

( )   -

( )   -

optional - for use during Church activities if different from number above

if different from above

current or upcoming school year

First Child Allergies

check all that apply

list any that apply or special considerations

current or upcoming school year

Second Child Allergies

check all that apply

current or upcoming school year

Third Child Allergies

check all that apply

current or upcoming school year

Fourth Child Allergies

check all that apply

Media Release Permission*

Registration Verification*