Kids Clubs 2022-2023

Please fill out this form and click submit.
 
 
 
 
 
 
 
 
 
 
 
Clubs Commitment Policy

I/We have read the Westminster Presbyterian Church Clubs Policy Commitment form and agree to abide by the club rules and policies found therein. The Club Commitment Policy is found on the club registration webpage.
 
Photo Permission

I/We understand that my child, as a participant in GEMS, Pioneer Boys, or Kids Quest, may be photographed or captured on video. I hereby grant full permission to Westminster Presbyterian Church to use photographs or videos - in print, electronic, online or other public media - of my child.
 
 
Child # 1

 
 
 
 
 
 
 
 
 
Please select one option.
Permission to Dismiss Student without Parental Supervision

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 independently or into the care of others must give written permission. Please list any other family members or adults who have your permission to pick up your child. If your child is in grade 4 and older, he/she will be dismissed without supervision at the end of the program.
 
 
 
 
Child # 2

 
 
 
 
 
 
Please select one option.
Permission to Dismiss Student without Parental Supervision

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 independently or into the care of others must give written permission. Please list any other family members or adults who have your permission to pick up your child. If your child is in grade 4 and older, he/she will be dismissed without supervision at the end of the program.
 
 
 
 
Child # 3

 
 
 
 
 
 
 
 
 
Please select one option.
Permission to Dismiss Student without Parental Supervision

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 independently or into the care of others must give written permission. Please list any other family members or adults who have your permission to pick up your child. If your child is in grade 4 and older, he/she will be dismissed without supervision at the end of the program.
 
Child # 4

 
 
 
 
 
 
 
 
 
Please select one option.
Permission to Dismiss Student without Parental Supervision

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 independently or into the care of others must give written permission. Please list any other family members or adults who have your permission to pick up your child. If your child is in grade 4 and older, he/she will be dismissed without supervision at the end of the program.
 
Child #5

 
 
 
 
 
 
 
 
 
Please select one option.
Permission to Dismiss Student without Parental Supervision

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 independently or into the care of others must give written permission. Please list any other family members or adults who have your permission to pick up your child. If your child is in grade 4 and older, he/she will be dismissed without supervision at the end of the program.
 
 
 
 
 
 

Description

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