Children’s Pre-registration Your Name Your Email Child 1's Name Child 1's Birthdate Child 2's Name (if applicable) Child 2's Birthdate (if applicable) Child 3's Name (if applicable) Child 3's Birthdate (if applicable) Child 4's Name (if applicable) Child 4's Birthdate (if applicable) Address City Province Postal Code Family Phone # Cell Phone # I give Portage Avenue Church permission to contact me via email (approximately 1-2 emails/month)