KC Winter/Spring 2025 Session Registration - Wednesdays, January 8 - April 30, 2025 - 5:30-7:30pm (KC Musical, Saturday, May 3 @ 4:00pm)

Parent/Guardian Information

Parent/Guardian #1 Name

Parent/Guardian #1 Email

This address will receive a confirmation email

Parent/Guardian #1 Phone

Address

Parent/Guardian #2 Name

Parent/Guardian #2 Email

Parent/Guardian #2 Phone

Church Home (If any)

I give permission for my child(ren)'s picture to be used anonymously in Waypoint's publications for ministry purposes.

Yes No

Child #1

First Name

Last Name

Gender

Date of Birth (MM/DD/YY)

Grade 2024-2025 School Year

Child's allergies, health concerns, or special needs

Child #2

First Name

Last Name

Gender

Date of Birth (MM/DD/YY)

Grade 2024-2025 School Year

Child's allergies, health concerns or special needs

Child #3

First Name

Last Name

Gender

Date of Birth (MM/DD/YY)

Grade 2024-2025 School Year TK K 1 2 3 4 5

Child's allergies, health concerns or special needs

Child #4

First Name

Last Name

Gender

Date of Birth (MM/DD/YY)

Grade 2024-2025 School Year TK K 1 2 3 4 5

Child's allergies, health concerns, special needs

Emergency Contact Information

Emergency Contact Name

Emergency Contact Phone

Relationship to Child

Parental Permission for Participation and for Emergency Treatment

For legal and insurance purposes, parents are required to give permission for their children to participate in church-sponsored activities. I understand that my child(ren) will be under adult supervision at all times. Participants or parents of children participating in church-sponsored activities covered by church insurance are financially responsible for medical, hospital and pharmeceutical expenses above the amount paid by the insurance company for any injury or illness sustained during activities sponsored by the church. In the event of accident or illness, I give my permission for emergency treatment by qualified medical personnel for my child(ren.)

Electronic Signature*

*By entering my name in the box above, I am providing my digital signature on this Form.

Parent Help with Dinner Service

We count on parents to help us each week with the dinner service. Please select the weeks you are available to help with the dinner service. We will assign one or two Wednesdays to each family to help serve and clean up after dinner at Kingdom Club. We will ask you to arrive by 5:10pm and you should be finished by 6:15-6:30pm.

Payment

For PayPal Credit or Debit please select the number of children you are registering from the dropdown menu. To pay by Cash, Check or Zelle, select the "Pay by Cash/Check/Zelle" option.

Cash/Check Payments:
Waypoint Church
194 W. 25th Avenue
San Mateo, CA 94403

To make payment via Zelle, use the following email address which is linked to our Waypoint bank account: melissab@waypoint.church. If asked for a Recipient Name you can use "Waypoint" for the first name and "Church" for the last name.

For scholarship information, please email gladysg@waypoint.church.

Bring a Friend Night Visitors please select "Bring a Friend Night".

Payment

KC Winter/Spring 2025 Session Registration - Wednesdays, January 8 - April 30, 2025 - 5:30-7:30pm (KC Musical, Saturday, May 3 @ 4:00pm)

Description

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