It’s Elementary & Tweens Sign-up – Westminster Presbyterian Church

Name*

First Last

Birthday*

MM

DD

YYYY

Grade in School*

Please enter a value between 1 and 5.

Name of Parent(s)*

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email*

Emergency Contact Phone Number*

Any emergency medical information such as allergies or medications

Are you Members of Westminster Presbyterian Church?*

Do we have your permission to use photos/videos of your child in WPC publications (including website and social media)?*

I am able to volunteer in the following ways:

Buttons cannot be unselected once checked.

Non-Member Donation

The amount you would like to donate to help with program expenses.

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