Sunday School Registration Form 2009 Wildwood Presbyterian Church You have not registered until you click "Submit" below. Parent/Guardian Name: Street Address City Home Phone Mom's Cell Phone Dad's Cell Phone E-mail Address One form may be used for up to four children living in the same household with the same parent or guardian. If you wish to register more children, please use another form. (On the second form you only need to enter your name and the information for your children.) The ages and grades are based on what your child will be as of 9/1/09. Please read this form carefully and fill it out completely. If you are registering less than four children, leave additional lines blank. All information will be kept confidential. Child's Name Birth Date Grade as of 9/1/09 Allergies or pertinent medical information Emergency Contact Information: Physician Name: Physician Phone: Insurance Information: Name and relationship of emergency contact: Phone number of emergency contact: Annual Multi-Program Permission: I give permission for my child, named above, to attend all program activities which have been announced and sponsored by Wildwood Presbyterian Church. If the event is held off church property, I give permission for my child to be transported to and from the event. I understand that any necessary transportation will be provided by car, van, mini-van, or truck driven by adult sponsors and/or parents. I release Wildwood Presbyterian Church, its employees, officers, volunteers, and members from any and all responsibility in case of an accident, injury, or illness while engaging in program activities and/or while traveling to and from program activities. I give my permission for my child to be treated in a medical emergency. I have read and understand the statement above. Please click here if you give your permission to release your second-fifth grader from Sunday School on his/her own, without parental sign-out. If applicable, which Children's Worship time will your child(ren) be attending? (Check all that apply) 8:00 Service 10:30 Service Please indicate your interest in any of the following Chrisitan Education programs: (Check all that apply) Angel Choir (Preschool-K) Wild Notes Choir (grades 1-5) Faith on Fire Choir (grades 6-12) Wild Puppet Co. (grades 2-12) Youth Band (grades 6-12) Youth Group (groups for grades 2-12) LOGOS (activities for grades K-5) You are not finished until you click Submit below! You may want to print this page before you submit your registration.
You have not registered until you click "Submit" below.
One form may be used for up to four children living in the same household with the same parent or guardian. If you wish to register more children, please use another form. (On the second form you only need to enter your name and the information for your children.) The ages and grades are based on what your child will be as of 9/1/09. Please read this form carefully and fill it out completely. If you are registering less than four children, leave additional lines blank. All information will be kept confidential.
Emergency Contact Information: Physician Name: Physician Phone: Insurance Information:
Name and relationship of emergency contact: Phone number of emergency contact:
Annual Multi-Program Permission:
I give permission for my child, named above, to attend all program activities which have been announced and sponsored by Wildwood Presbyterian Church. If the event is held off church property, I give permission for my child to be transported to and from the event. I understand that any necessary transportation will be provided by car, van, mini-van, or truck driven by adult sponsors and/or parents. I release Wildwood Presbyterian Church, its employees, officers, volunteers, and members from any and all responsibility in case of an accident, injury, or illness while engaging in program activities and/or while traveling to and from program activities. I give my permission for my child to be treated in a medical emergency.
I have read and understand the statement above.
Please click here if you give your permission to release your second-fifth grader from Sunday School on his/her own, without parental sign-out.
If applicable, which Children's Worship time will your child(ren) be attending? (Check all that apply) 8:00 Service 10:30 Service
Please indicate your interest in any of the following Chrisitan Education programs: (Check all that apply) Angel Choir (Preschool-K) Wild Notes Choir (grades 1-5) Faith on Fire Choir (grades 6-12) Wild Puppet Co. (grades 2-12) Youth Band (grades 6-12) Youth Group (groups for grades 2-12) LOGOS (activities for grades K-5)