Hello!
We are so glad to have your child joining us in Westminster Kids! Please complete the following form below to ensure we have all the important information for your child’s safety. The following documents are available for your review anytime or you may request a physical copy as well.

Child's Name *
Child's Name
Birthday *
Birthday
Any known allergies or important things we should be aware of?
Parent's Name *
Parent's Name
Phone *
Phone
Parent's Name (optional)
Parent's Name (optional)
Phone
Phone
Emergency Contact (if other than mom or dad)
Emergency Contact (if other than mom or dad)
Emergency Contact Phone
Emergency Contact Phone
Medical Release *
See the PDF attached above the form for Medical Release.
Photo Release *
See the PDF attached above the form for Photo Release.
Waiver & Release of Liability *
See the PDF attached above the form for Waiver & Release of Liability
Authorized Pick-Up Person
Authorized Pick-Up Person
I hereby inform Westminster Kid's Ministry that people listed below are authorized to pick up the above named child at any time. The authorized pick-up person must be an older sibling or at least 18yrs of age. Nursery age children will not be released to a sibling, only a parent.
Authorized Pick-Up Person
Authorized Pick-Up Person
I hereby inform Westminster Kid's Ministry that people listed below are authorized to pick up the above named child at any time. The authorized pick-up person must be an older sibling or at least 18yrs of age. Nursery age children will not be released to a sibling, only a parent.
Authorized Times of Release w/o Pick-Up
We understand that as children reach an age of independence it is sometimes nice to have them meet you elsewhere in the building. Please check the times below if you would like for Westminster Kids to release your child after programming ends WITHOUT a pick-up person present. Child must be in 4th or 5th grade, younger children are required to have a pick-up person.