2024-2025 Westside Kids Registration Form
Please fill out this form and click submit.
STUDENT INFORMATION
First Name, Last Name
*
Grade
*
Please select one option.
Kindergarten
1st
2nd
3rd
4th
5th
6th
Select Option
Kindergarten
1st
2nd
3rd
4th
5th
6th
Shirt Size
*
Please select one option.
Youth S
Youth M
Youth L
S
M
L
XL
Select Option
Youth S
Youth M
Youth L
S
M
L
XL
PARENT INFORMATION
First Name
*
Last Name
*
Phone
*
Address
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Email
*
This address will receive a confirmation email
Emergency Contact Name
*
Emergency Phone
*
Do you attend another church besides Westside? If so, where?
If you're unavailable for pick up, please list up to two people who are authorized to pick up your student,
*
If available, would your student(s) need transportation to and from Kids 4 Truth. We may be able to provide transportation for 1st - 5th grade.
*
Please select all that apply.
Yes
No
Submit
Description
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