Hello HWC Families! We're excited to begin our 2019-2020 year. As we prepare to best meet your child's needs we're looking for update information. Please fill out this form one time for each child in your family. We look forward to seeing you soon!
School
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Fillmore
Home School
Belfast
Cuba-Rushford
Pioneer
Grade (Fall 2019)
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Pre-Kindergarten
Kindergarten
1st
2nd
3rd
4th
5th
6th
In order to provide the safest environment possible for our HWCkids, we ask each year for updated information regarding photo permissions, dismissal procedures, and medical emergencies. Please read each section carefully, as some have changed for 2019-2020.
I give permission for my child to participate fully in all HWCkids activities.
*
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Yes
No
I give my permission for Houghton Wesleyan Church to take photos and videos of my child for church use (including social media and church newsletters).
*
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Yes
No
Other
I authorize transportation to a doctor or hospital & authorize medical treatment, including, but not limited to emergency surgery or medical treatment, and assume responsibility of all medical bills. We understand that we or our family physician will be contacted if at all possible in the case of an emergency, but in the event that such cannot be reached, staff may choose a reputable physician.
*
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Yes
No
The following questions apply only to HWCkids Sunday School.
Beginning in Fall 2019, only children in grades 4-6 are allowed to self-dismiss. Please indicate whether your child has permission to dismiss without a parent following Sunday School alone.
*
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I will pick up my child. *Required for kids under fourth grade.
My child may self-dismiss. *Only kids grades 4-6.
Does not apply. My child will not be attending Sunday School.
HWCkids Wednesday Night Club
The following questions apply only to HWCkids Wednesday Night Club.
I understand that the HWC Emergency Action Plan requires that I sign my children in and out of the building at the Breeze Welcome Center. My child agrees to wear the Breeze ID tag during Club. I agree to sign my children in and out.
*
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Yes
No
Will Not Be Participating
By entering my name in the box above, I am providing my digital signature on this form.