2019 - 2020 WCP Wednesday Word, Confirmation, and FROLIC Registration
Online Registration - WCP Wednesday Word, Confirmation, and FROLIC
Email address *
Parent or Guardian First and Last Name *
Your answer
Parent or Guardian Address, City, State, Zip *
Your answer
Parent or Guardian Mobile Phone Number
Your answer
Parent or Guardian Landline Phone Number
Your answer
Child's First and Last Name *
Your answer
School Grade 2019-2020 School Year *
# 2 Child's First and Last Name (if necessary)
Your answer
School Grade 2019-2020 School Year
# 3 Child's First and Last Name (if necessary)
Your answer
School Grade 2019-2020 School Year
# 4 Child's First and Last Name (if necessary)
Your answer
School Grade 2019-2020 School Year
Is there anything unique that we need to know about your child(ren)? (Allergies, special needs or circumstances, schedules, health conditions, etc)
Your answer
If an emergency would arise between 3:15 and 5:30 p.m. on Wednesday evenings, who and what phone number should we call? *
Your answer
Sometimes we like to take some pictures for the bulletin board, web site, newsletter, or other Westby Coon Prairie publications. Do you give us permission to use a picture that would have your child in it?
By typing your name and entering the date, you are electronically signing this form. Thanks so much. *
Your answer
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