First Congregational Church of Western Springs Children & Youth Program Registration
First Congregational Church offers many programs for fellowship and faith formation for the children and youth of our church; this is part of how we live into our covenant to love, support, and care for the children growing up in our midst.

In order to ensure that our families are aware of these opportunities and that our records are up-to-date, we have instituted a registration process for all youth and children's programs (including Sunday School). This is for both new and returning program participants, infant through high school.

Please fill out and submit the form by Tuesday, August 20th for each of your children.

If you have questions or concerns, feel free to contact any of us directly.

In Christ's Peace,
The Faith Formation Team
Rev. Katherine Willis Pershey, Associate Minister (katherine@wscongo.org)
Mike Tilden, Director of Youth Ministries (tilden@wscongo.org)
Hope Sabbagha, Director of Children's Ministries (hope@wscongo.org)
General Information
Is this your first time registering at First Congo? *
Full Name(s) of Parents *
Parent Email(s) *
Parent Cell Phone Number(s) *
Address *
Full Name of Child *
Preferred Name *
Child's Date of Birth *
MM
/
DD
/
YYYY
If applicable, what school will your child attend in 2019-2020?
Grade level in 2019-2020 (if applicable)
Preferred Child Email
By sharing your child's email address, you are granting permission for the staff of First Congo to contact your child directly with program information, updates, or invitations to participate in worship leadership. This contact information will be kept secure and will never be shared without permission. (Parents will still receive program updates as well.)
Preferred Child Cell Phone Number
By sharing your child's cell phone number, you are granting permission for the staff of First Congo to contact your child directly with program information, updates, or invitations to participate in worship leadership. This contact information will be kept secure and will never be shared without permission. (Parents will still receive program updates as well.)
Photo Release *
Pictures taken at church events are often shared on our website, church Facebook page, Instagram account, and annual slideshow. These photographs are a wonderful way to remember and celebrate our life together as a congregation. Children are never identified by name in photo captions. Do you grant permission for the church to take and publish photographs of your child at church events?
Preschool Families Only
I grant permission to Sunday School teachers to provide assistance if needed to my child while using the restroom.
Clear selection
Does your child have any allergies? If yes, please explain. *
Does your child have any special needs related to behavior, health, or learning? If yes, please explain. *
The information provided in this form will be available to both program and administrative staff members. If you wish to provide sensitive information in a more private format, please reach out to the relevant staff member directly.
Nursery & Preschool
For children birth through age five, who will not be entering kindergarten in 2019-2020.
Check all that apply
Elementary School
For children who are kindergarten through 5th grade
Check all that apply
Middle School/Junior High
For children who are 6th-8th grade
Please check all that apply
High School
For children who are 9th-12th grade
Please check all that apply
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