LET'S GROW TOGETHER!
Personal Information
First Name
*
Preferred Name
Middle Name
Last Name
*
Phone Number
*
Email Address
*
Date of Birth
*
Marital Status
Single
Engaged
Married
Partner
Widowed
Divorced
Separated
Gender
Male
Female
Locations
IWC - St. James
IWC - Transcona
IWC - North
IWC - Brandon
IWC - Neepawa
IWC - Portage la Prairie
IWC - Prince Albert
Media Release
Photos & Videos are regularly taken and used by IWC for ministry and promotional purposes.
Press "I consent" below to grant permission for the reasonable use of pictures and videos containing your child(ren) in promotional material, in-house graphics, social media posts, and on the website.
*
I consent.
I do not consent.
Remove
Register Another Person
Submit