WINNETKA PRESBYTERIAN CHURCH
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My WPC
Please complete the form below to register your child. If you would like information about our children or youth ministries, please contact
Nancy Holly
.
Parent/Guardian Information
PARENT/GUARDIAN #1
*
Indicates required field
Name
*
First
Last
Email
*
Phone
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
PARENT/GUARDIAN #2
Name
*
First
Last
[object Object]
Email
*
Phone
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Child's Information
CHILD #1
Name
*
First
Last
[object Object]
Child's Nickname
*
Date of Birth
*
Grade Level
*
Nursery
Kindergarten
1
2
3
4
5
6
7
8
9
10
11
12
Has Your Child Been Baptized?
*
Yes
No
Use this space to share any allergy, medical, or other important information about your child.
*
CHILD #2
Name
*
First
Last
Child's Nickname
*
Date of Birth
*
Grade Level
*
Nursery
Kindergarten
1
2
3
4
5
6
7
8
9
10
11
12
Has Your Child Been Baptized?
*
Yes
No
Use this space to share any allergy, medical, or other important information about your child.
*
CHILD #3
Name
*
First
Last
Child's Nickname
*
Date of Birth
*
Grade Level
*
Nursery
Kindergarten
1
2
3
4
5
6
7
8
9
10
11
12
Has Your Child Been Baptized?
*
No
Yes
Use this space to share any allergy, medical, or other important information about your child.
*
Emergency Contact
Name
*
First
Last
Phone Number
*
Relationship
*
Activities Release Statement
This form is required of participants in WPC Nursery & Sunday School Grades K-12 for fellowship activities, including field trips and off-site activities in the Chicagoland area. Separate permission is required for overnight trips, mission trips, or events outside of the State of Illinois.
I give permission for my child to participate in young people's activities at Winnetka Presbyterian Church, including field trips off church property. In the event my child requires emergency medical treatment, if I cannot be contacted, I authorize Winnetka Presbyterian Church and its representatives to act for me in seeking and consenting to medical treatment on behalf of my child, and I give permission to those administering emergency treatment to do so using those measures deemed appropriate in accordance with reasonable medical judgement. To the fullest extent permitted under Illinois law, I release Winnetka Presbyterian Church, its representatives and volunteers from liability arising out of or in connection with such actions taken on my behalf.
Activities Release Statement
*
I DO consent to the activities release statement
I DO NOT consent to the activities release statement
Photo Release Statement
I give permission to Winnetka Presbyterian Church to use unidentified pictures of my children for WPC's website, annual report and/or other church-related purposes. I understand that my child's name will never be used in conjunction with the photos.
Photo Release Statement
*
I DO consent the the photo release statement
I DO NOT consent to the photo release statement
Submit
For More Information
For more information, please
contact Nancy Holly
.
Home
Who We Are
I'm New
Staff
Elders and Deacons
Contact Us / Directions
Weekly Email Newsletter
Calendar
What We Believe
Sacraments
Social Justice Issues
Strategic Plan
WPC History
Annual Report
General Assembly 2024
WPC Gallery
>
Pancake Breakfast 2023
Trunk or Treat 2022
Christmas Eve 2022
Children and Youth
Sunday School
Youth
Winnetka Nature Playschool
Confirmation
Adults
Adult Ed Series
WPC Women
Make a Difference
Summer Mission Trip 2024
Family Promise
Matthew 25
Refugee Resettlement
Worship and Music
Online Worship
Worship Bulletins
Sunday Worship
Music @ WPC
Worship Participants Schedule
Pastoral Care
Give Online
Stewardship 2024
Pledge Now
Stock and Estate Donations
Space Use
My WPC