2019-2020 Pathways / Discipleship Hour Registration

2019-2020 Pathways / Discipleship Hour Registration

Pathways meets Wednesdays after school, Discipleship Hour (formerly called GROW classes) meets Sunday mornings at 9AM.
I am registering my child for: *

Pathways Discipleship Hour Classes Both
MEDIA PERMISSIONS: Can 1st Presbyterian Church use your child's picture and first name only in promotional mailings and on the church's official website and Facebook page(s)? *

Yes, I give permission. No, I do not give permission.
Child's Name: *

First Name Last Name
Child's Date of Birth *

Month Day Year
Date Date Picker Icon
Grade: *
Teacher: *
Allergies, Physical Limitations, and/or Special Needs: *
Primary Caregiver's Name: *

First Name Last Name
Relation to child: *
Mother, Father, Grandparent, etc.
Email: *
example@example.com
Cell Phone: *

Area Code Phone Number
Secondary Caregiver:

First Name Last Name
Relation to child:
Father, Mother, Grandparent, etc.
Email:
example@example.com
Cell Phone:

Area Code Phone Number

Address: *

Home Phone: *

Area Code Phone Number
In addition to the names listed above, the following people are permitted to pick up my child from Pathways and/or Discipleship Hour classes: *
Names of authorized guardians, family members, or caregivers
2019 Christmas Play Permissions

Our annual Christmas Program will take place on Wednesday, December 18, 2019 at 6:30p.m., following a pot-luck dinner. (Please contact Becky Juliano to contribute a side dish or dessert.)
My child would like: *
Pathways Busing From WCES Permission

This will be detached and turned in to WCES.
Child's Name:

First Name Last Name
Child's Grade:
Child's Teacher:
I would like my child to be bused from WCES to 1st Presbyterian Church on Wednesdays for Pathways. *

Yes No - I will provide transportation for my child to Pathways No - I am registering for Discipleship Hour classes only
By electronically signing (typing) my name, I give WCES permission to allow my child to be bused to 1st Presbyterian Church on Wednesdays to attend Pathways. I understand that Pathways follows the Central Greene school calendar and that on days of early dismissals (both planned and un-planned), my child will be sent home on his or her regular bus.
Parents / Guardian Name
Should be Empty:

2019 Christmas Play Permissions