Children's Church Registration

Please list child/children's name, age, allergies, and other important information:

Contact

✕

First Name

Last Name

Email Address

Phone Number

Address

Apartment, suite, etc.

City

State

Postal / Zip Code

How many times have you visited our church?
This is my first time
A few times
Regular attender

Do you have any questions or concerns?

7505 Wares Ferry Road
Montgomery, AL 36117
334-396-9811
admin@easternoaks.org