First Presbyterian Church of Winchester

Serving Christ and Neighbor in Winchester and Beyond since 1800

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You are here: Home / Complete Our Info Form for the New Program Year!

Complete Our Info Form for the New Program Year!

It’s that time of year again to register your children for participation with our ministries for young people. Children and youth age 0-12th grade can all be registered by completing the online form below!

Register Now for 2022-23

Family Name*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone Number
Email Address
Mother's Name
Mother's Cell Phone Number
Mother's Work Number
Father's Name
Father's Cell Phone Number
Father's Work Number
If parents connot be reached in an emergency, contact
Phone Number
Photographic Release for Minors*
- I do
- I do not
give First Presbyterian Church permission to publish in print, electronic, website, or video format the likeness or image of my child(ren). I release all claims against First Presbyterian Church with respect to copyright, ownership, and publication, including any claim for compensation related to use of the materials. (Must be completed by a parent or guardian)
Child #1 Name
Child #1 Birth date
Sex
Age
Grade in School
School Name
Allergies, medical conditions or special needs
For Youth 5th-12th grade: Best ways to be contacted:
- Email
- Mailings
- Text
- Phone Call
- Facebook
Youth Cell Phone
Youth Email Address
Child #2 Name
Child #2 Birth date
Sex
Age
Grade in School
School Name
Allergies, medical conditions, or special needs
For Youth 5th-12th grade: Best ways to be contacted:
- Email
- Mailings
- Text
- Phone Call
- Facebook
Youth Cell Phone
Youth Email Address
Child #3 Name
Child #3 Birth date
Sex
Age
Grade in School
School Name
Allergies, medical conditions, or special needs
For Youth 5th-12th grade: Best ways to be contacted:
- Email
- Mailings
- Text
- Phone Call
- Facebook
Youth Cell Phone
Youth Email Address
Child #4 Name
Child #4 Birth date
Sex
Age
Grade in School
School Name
Allergies, medical conditions, or special needs
For Youth 5th-12th grade: Best ways to be contacted:
- Email
- Mailings
- Text
- Phone Call
- Facebook
Youth Cell Phone
Youth Email Address

Upcoming Events

Jan 30

January 28 - February 4

FPC Hosting WATTS Jan 28th – Feb 4th

Apr 19

5:30 pm - 7:00 pm

Spaghetti Dinner and Auction benefitting WDS Preschool

Apr 28

April 28 - April 29

Apple Blossom Artisan Craft Fair – FPC Parking Lot

Service Times

Sunday School Locations

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First Presbyterian Church of Winchester | 116 South Loudoun Street | Winchester, Virginia, USA, 22601

Tele. No.: 540-662-3824 | Fax: 540-662-8498