EmailMe Form - WEFC KIDZ' MINISTRY

EmailMeForm

Family Last Name *
Parents/Guardian First Name *
Street Address *
Street Address
City *
State *
Zip Code *
Email *
Home Phone Number *
### - ### - ####
Cell Phone Number *
### - ### - ####
Preferred Way to Contact *
Children Information
Please list childs last name if different from family name above.
Name
First Last
Date of Birth
MM / DD / YYYY
Select Your Child's class or Grade
Name
First Last
Date of Birth
MM / DD / YYYY
Select Your Child's class or Grade
Name
First Last
Date of Birth
MM / DD / YYYY
Select Your Child's class or Grade
Name
First Last
Date of Birth
MM / DD / YYYY
Select Your Child's class or Grade
Name
First Last
Date of Birth
MM / DD / YYYY
Select Your Child's class or Grade
Parent Authorization for Child Pick Up
Students in 4th grade and lower must be picked up by parent(s) or adult 18 years or older who has guardianship or authorization. Siblings younger than 18 years will not be allowed to pick up when class is dismissed.

List adult other than parent to pick up:
Name
First Last
Name
First Last
Allergies/Health/Special Needs or Other Concerns
Please separate by child's name
*Snacks will NOT be served during Sunday class except for special occasions such as Christmas party etc.
Picture Permission Form
WEFC Kidz' Ministry has my permission to take pictures (print or video) of my child/children. Picture will be used only for display within the church, church literature or church website (www.westefc.org). Child's name will not be listed on any publication or website.
Please check a box *
Yes
No
Image Verification

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Children Information

Parent Authorization for Child Pick Up

Allergies/Health/Special Needs or Other Concerns

Picture Permission Form