WPC Children’s Church School Registration Card – Westminster Presbyterian Church

Name *

First

Last

Name my child prefers

Address

Address Line 1

Address Line 2

City

State

Zip Code

Home phone

Cell phone or other #

Parents' Names *

Family Email *

Allergies or other medical concerns

Person, other than parent, who may pick up child

Siblings must be 5th grade or older to pick up a child

Children 5th grade and older will be released on their own unless you specify otherwise.

Parent(s) usual location(s) during Sunday school

A parent or other responsible adult MUST be on-site while your child attends Church School.

I hereby give permission, while an adult is on the way to locate me, for assistance and or a 911 call to be initiated, in the event that my child becomes ill or is injured during Sunday School, Nursery, or Extended Care.

Parents Typed Signature

Date of Signature

Westminster Presbyterian Church takes pictures of our children, teachers and parents for use on our website, brochures, and other printed materials. If you have any questions about this practice, please contact Sophie Maness, 292-5526, or smaness@nashvillewpc.org.

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