First
Congregational Church
United Church of Christ
225 S Interlachen Ave.
Winter Park, FL  32789
Phone:  407-647-2416
mailto: fccwp@fccwp.org

Bryan G. Fulwider,
Sr. Minister
Karen E. Barker-Duncan,
Associate Minister
Talia R. Raymond,
Minister of Arts
and Education
Sherie A. Lindamood,
Worship Minister
William C. Tuck,
Pastor Emeritus
John V. Sinclair
Music Director
 Molly Conole,
Children's and Youth
Choirs Director
Chris Olivent,
Organist
Liz Kitchens,
Commissioned Minister
of the Arts
Karen Sinclair,
Preschool Director
Mary Joe Searl,
Administrator

INTERFAITH COUNCIL:
DARFUR IS EVERYONE'S
RESPONSIBILITY

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W.I.N.G.S. Youth Events Permission Form

 

 W.I.N.G.S. and/or YOUTH EVENTS PERMISSION FORM
First Congregational Church of Winter Park
225 South Interlachen Avenue
Winter Park, FL  32789
407-647-2416
http://www.fccwp.org 

 

Please complete a separate form for each youth participating in W.I.N.G.S. or other events.

This form covers all W.I.N.G.S. and youth activities for the 2006 - 2007 program year. You will still berequired to sign up for events, but no longer need to fill out a permission form for each one.

I hereby give permission for my son/daughter to attend all W.I.N.G.S. sponsored events during the 2006 -2007 program year, either at church or off grounds. I also give permission for my child to be driven to andfrom such events by church staff, W.I.N.G.Nuts, and/or parent chaperones.

Youth Events Permision Form Submission
* Required
Parent's Signature *
 
Date *
 
Participant's Information
 
Youth's Full Name (First, M., Last) *
 
Gender *
Male
Female
 
Date of Birth (mm/dd/yyyy) *
 
Home Address
 
Number & Street *
 
City *
 
State *
 
Zip Code *
 
Name of School *
 
Grade in School *
 
Parent/Guardian Name *
 
Phone Number(s) -- Please List All Parent/Guardian Phone Numbers *
 
Emergency Contact Name *
 
Phone Number(s) -- Please List All Emergency Contact Phone Numbers *
 
Please List and/or Describe Any Allergies and/or Special Needs *
 
Please List the Name(s)/Age(s) of Any Siblings *
 
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