Youth Registration

Youth Registration | 2025-2026

Please enter the information for your student(s) below:

By submitting this registration, you grant Westgate Church permission to use photos and videos of your student(s) for church-related purposes, including promotional and informational materials.

If you have any concerns or questions, please contact our team.

* Student First Name

* Student Last Name

* Student Gender

* Student Email

* Student Address

* Student Birth Date (mm/dd/yyyy)

* Student Grade

* Student School Attended

* Parent/Guardian Name

* Parent/Guardian Phone #

* Parent/guardian email address if different from above

* Any allergy information we should be aware of?

* Can our staff administer over the counter medication to your child?

* Any medications that your child is taking that we should be aware of?

* Is there anything we should be aware of that will help us serve your child best (sensory needs, physical abilities, behavior cues, etc)?

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