Child/Youth & Childcare Registration form

Child/Youth & Childcare Registration form

District Conference July 25-27, 2025, McPherson, Kansas
Please complete a registration for each child
Child's Name*

First NameLast Name
Type a question*

MaleFemale
Age Group*

Infant to 2 yrs.3-5 yrs
Grade completed*

1-34-5
My child will participate in the following activities: Please made sure you have plans for your child to be picked up during meal hours. All childcare will take place in the Education building at the church*

Friday 10:00-11:45 a.m. Insight SessionsFriday 1:45-5:00 p.m. Business SessionSaturday 9:30 a.m.-noon Insight SessionsSaturday 1:45-5:00 p.m. Business SessionsSunday 9-10 am Sunday School
Special Needs: list child's allergies/food sensitivities: (if none please note that)
Parental Permissions

Please also fill out the Medical Record/Permission Form for your child and return with this registration form
Name*

First NameLast Name
Cell Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Cell phone/location during conference if different from above.
Signature of Parent/Guardian Signature* Date Date*
(signing this form indicates acceptance of electronic signature.)
Volunteer Opportunity

There is always a great need for volunteer help for any of the age groups. If you are a non-delegate and willing to volunteer some time for children's activities or childcare, please indicate your willingness by checking the box. We will give your contact information to the child care coordinator and someone will be in touch with you. Thank you for your consideration@
Please note that photos may be taken during conference.Western Plains District will not post photos of children or youth on our website. However, we cannot control what individuals post to social media.
Please return this form to Registrar, Wylene Lengel by July 9 by mail or email: 1360 N. Walnut St., McPherson, KS 67560, wylene.lengel@gmail.com
Should be Empty:

Child/Youth & Childcare Registration form

Please complete a registration for each child

Parental Permissions