Children's Sunday School Enrollment Form 2023-2024

Parent/Guardian 1 Name

Parent/Guardian 1 Cell Phone

Parent/Guardian 1 Email

This address will receive a confirmation email

Parent/Guardian 2 Name

Parent/Guardian 2 Cell Phone

Parent/Guardian 2 Email

Address

Dismissal Authorization

For the safety of your child, Westminster’s Pick-up Policy for children birth through Grade 3 states:

We [Westminster Church] ask that parents/guardians pick up their children within ten minutes following any class or program. Any parents/guardians desiring that their children be released into the care of others must give written authorization. (For 2 and 3 year olds, follow nursery procedures for check in and pick up).

Choose One: My child(ren) (grade 3 and younger) will ONLY be picked up by a parent/guardian. If I am unavailable, I grant permission for my child(ren) (3rd grade and younger) to be picked up at the end of Westminster Church's children’s club hour each week by the adults and/or siblings (10 years and older) listed below.

If you chose the second option in the question above, please list adults and/or siblings (10 years and older) allowed to pick up your child(ren) here:

Child #1 Information

Name

Gender

Birthdate

Age

Grade

School

Please tell us of any allergies, medications or other health conditions your child’s teacher should know about:

Please describe learning, emotional, or behavioral needs below.

If you have filled in the box above, we are happy to welcome your child to Sunday school. Please schedule a time to meet with the director and special needs consultant before your child attends class. Contact Children's Ministry Staff at children@westpca.com.

Child #2 Information

Name

Gender

Birthdate

Age

Grade

School

Please tell us of any allergies, medications or other health conditions your child’s teacher should know about:

Please describe learning, emotional, or behavioral needs below.

Child #3 Information

Name

Gender

Birthdate

Age

Grade

School

Please tell us of any allergies, medications or other health conditions your child’s teacher should know about:

Please describe learning, emotional, or behavioral needs below.

Child #4 Information

Name

Gender

Birthdate

Age

Grade

School

Please tell us of any allergies, medications or other health conditions your child’s teacher should know about:

Please describe learning, emotional, or behavioral needs below.

Children's Sunday School Enrollment Form 2023-2024

Description

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