Westminster Presbyterian Kids' Ministry Check-In!

Information gathered will only be used by Westminster Presbyterian in Des Moines, Iowa and will not be shared with anyone.

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* 1. What is YOUR First and Last Name

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* 2. E-Mail

What e-mail address would you like us to use?

Would you prefer we e-mail or text you?

Can we send you a weekly update about Westminster Kids' Activities?

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* 3. Phone Number

What phone number would you like us to use?

Can we send text messages to this number?

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* 4. Information about your First Child (5th Grade or younger)

Child's Name (First and Last)

Birth Year

Current Grade

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* 5. Information about your Second Child (5th Grade or younger)

Child's Name (First and Last)

Birth Year

Current Grade

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* 6. Information about your Third Child (5th Grade or younger)

Childs Name (First and Last)

Birth Year

Current Grade

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* 7. Any other children

Do you have any other children living at home with you?

What are their names?

What are their ages?

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* 8. Printed Newsletter and Activity Sheet
We will be mailing weekly activity sheets to kids, similar to the kid's bulletin we used to share during worship. Materials will be geared toward children 11 and younger.

Would you like to receive activity sheets?

How many would you like?

What address would you like them mailed to?

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* 9. Care Packages
We will be delivering them monthly, materials will be geared toward children 11 and younger. We are offering one per child.

Would you like to receive care packages?

How many would you like?

Westminster Presbyterian Kids' Ministry Check-In!

Question Title

* 1. What is YOUR First and Last Name

Question Title

* 2. E-Mail

Question Title

* 3. Phone Number

Question Title

* 4. Information about your First Child (5th Grade or younger)

Question Title

* 5. Information about your Second Child (5th Grade or younger)

Question Title

* 6. Information about your Third Child (5th Grade or younger)

Question Title

* 7. Any other children

Question Title

* 8. Printed Newsletter and Activity SheetWe will be mailing weekly activity sheets to kids, similar to the kid's bulletin we used to share during worship. Materials will be geared toward children 11 and younger.

Question Title

* 9. Care Packages We will be delivering them monthly, materials will be geared toward children 11 and younger. We are offering one per child.

Question Title

* 10. Is there anything that Westminster can be doing to help you or do you have any questions?

* 8. Printed Newsletter and Activity Sheet
We will be mailing weekly activity sheets to kids, similar to the kid's bulletin we used to share during worship. Materials will be geared toward children 11 and younger.

* 9. Care Packages
We will be delivering them monthly, materials will be geared toward children 11 and younger. We are offering one per child.