Kids Together Registration
Email *
Child(ren)'s Name(s) *
Parent's Name *
Emergency Phone Number *
Home Address *
We will be starting in March: *
We will be starting in April: *
I give permission for my child(ren) to be photographed during Kids Together and understand that pictures may be used for publicity purposes in the local media, for church publicity and on the church website or social media: *
I give the church staff at First Presbyterian Church of Wheaton and/or an attending physician the authority to take the actions necessary in the best interest of my child. These actions may include either emergency medical treatment or emergency first aid administered by one certified in CPR and first aid: *
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of First Presbyterian Church of Wheaton. Report Abuse