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First Presbyterian Church of Wilmette
Experience God. Grow Disciples. Transform Lives.
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WORSHIP & LIVESTREAM
Worship Archive
Weddings
Baptism
Funerals
WELCOME
What to Expect
Membership
Staff
Officers
History
CHILDREN
Children’s Registration
YOUTH
Youth Registration
MUSIC
MISSION
Racial Justice
Family Promise
SMALL GROUPS
News & Announcements
MEMBERS’ PORTAL
Contact
Children’s Registration
Please enable JavaScript in your browser to complete this form.
Parent 1 Name
*
First
Last
Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Parent 1 Phone
*
Parent 1 Email
*
Parent 2 Name
First
Last
Does Parent 2 reside at the same address as Parent 1?
*
Yes
No
Parent 2 Address
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Parent 2 Phone
Parent 2 Email
Child's Name
*
First
Last
Birthdate
*
MM
1
2
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12
DD
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30
31
YYYY
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
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1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Grade in school as of September 1st
*
Junior Preschool
Senior Preschool
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Allergies
Medications
Conditions that would be helpful for a teacher to know
Would you like to enroll another child?
*
Yes
No
Second Child's Name
*
First
Last
Birthdate (Second Child)
*
MM
1
2
3
4
5
6
7
8
9
10
11
12
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
YYYY
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Grade in school as of September 1st (Second Child)
*
Junior Preschool
Senior Preschool
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Allergies (Second Child)
Medications (Second Child)
Conditions that would be helpful for a teacher to know (Second Child)
Would you like to enroll another child?
*
Yes
No
Third Child's Name
*
First
Last
Birthdate (Third Child)
*
MM
1
2
3
4
5
6
7
8
9
10
11
12
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
YYYY
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
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1953
1952
1951
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1948
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1940
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1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Grade in school as of September 1st (Third Child)
*
Junior Preschool
Senior Preschool
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Allergies (Third Child)
Medications (Third Child)
Conditions that would be helpful for a teacher to know (Third Child)
Would you like to enroll another child?
*
Yes
No
Fourth Child's Name
*
First
Last
Birthdate (Fourth Child)
*
MM
1
2
3
4
5
6
7
8
9
10
11
12
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
YYYY
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Grade in school as of September 1st (Fourth Child)
*
Junior Preschool
Senior Preschool
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Allergies (Fourth Child)
Medications (Fourth Child)
Conditions that would be helpful for a teacher to know (Fourth Child)
I GIVE MY PERMISSION FOR MY CHILD(REN) TO LEAVE THE CHURCH BUILDING ACCOMPANIED BY A TEACHER TO BE IN THE FELLOWSHIP GARDEN AND PLAY ON THE PLAYGROUND.
*
I CONSENT
I DO NOT CONSENT
I CONSENT TO MY CHILD(REN) ATTENDING FPCW FOR ANY FUNCTION BEING PHOTOGRAPHED. I AGREE THAT FPCW SHALL HAVE THE RIGHT TO USE MY CHILD'S PHOTO FOR MARKETING/PROMOTIONAL MATERIALS AT ANY TIME AND FOR ANY OTHER LEGITIMATE PURPOSE THE MINISTRY DEEMS NECESSARY. THE CHILD'S NAME WILL NOT BE USED WITH THE PHOTOS.
*
I CONSENT
I DO NOT CONSENT
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