It’s Elementary & Tweens Sign-up Name* First Last Birthday* MM DD YYYY Grade in School*Please enter a number from 1 to 5.Name of Parent(s)*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Emergency Contact Phone Number*Any emergency medical information such as allergies or medicationsAre you Members of Westminster Presbyterian Church?*YesNoDo we have your permission to use photos/videos of your child in WPC publications (including website and social media)?*YesNoI am able to volunteer in the following ways:Regular Weekly LeaderHelp several times during the year as a leaderHelp once a month as a leaderCarpool MonitorButtons cannot be unselected once checked. Non-Member DonationThe amount you would like to donate to help with program expenses. CAPTCHA This iframe contains the logic required to handle Ajax powered Gravity Forms.
