Kids Registration Form

* Indicates required field

Kids Registration Form

This form will also be made available for parents Sundays at Mission Hill Church.

Date *

Family Contact Information

family last name *

address *

postal code *

city *

home phone number *

cell phone *

Email *

other email *

Child / Children

Name, (child 1) *

First

Last

Birthdate (dd/mm/yy) *

Grade *

Allergies or Special Needs? *

Name, (child 2) *

First

Last

birthdate (dd/mm/yy) *

Grade *

Allergies or Special needs *

Name, (child 3) *

First

Last

birthdate (dd/mm/yy) *

grade *

allergies or special needs? *

Name, (child 4) *

First

Last

birthdate (dd/mm/yy) *

grade *

allergies or special needs? *

Name, (child 5) *

First

Last

birthdate (dd/mm/yy) *

grade *

allergies or special needs? *

Parent / Guardian Information

Name (parent / guardian 1) *

First

Last

relationship to child(ren) *

Name (parent / guardian 2) *

First

Last

relationship to child(ren) *