It’s Elementary Sign-up Are you Members of Westminster Presbyterian Church?*SELECT ONEYesNoName* First Last Date of Birth* MM DD YYYY School Name*Grade in School*(2020-21 School Year)SELECT ONEPreschoolKindergarten12345T-Shirt Size*SELECT ONEYouth SmallYouth MediumYouth LargeYouth X-LargeAdult SmallAdult MediumAdult LargeName 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 Name*Emergency Contact Phone Number*Emergency Contact Name 2Emergency Contact Phone Number 2Any emergency medical information such as allergies?Do we have your permission to use photos/videos of your child in WPC publications (including website and social media)?*YesNoPermission, Medical, and Liability Release Statement* Yes By checking this box, you are confirming you have read and agree to the Permission, Medical, and Liability Release Statement.DON'T FORGET TO CHECK THIS BOX!
