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*
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
*
Please provide a number we could use to text in the event we require parent assistance.
Email
*
other email
*
Child / Children
Name, (child 1)
*
First
Last
Birthdate (dd/mm/yy)
*
Grade
*
What grade is your child entering in September of this year?
Allergies or Special Needs?
*
If your child has any allergies or special needs we should be aware of while he/she is in our care, please list them (in as much detailed as possible) below. Thank you.
Name, (child 2)
*
First
Last
Please leave blank if you are only registering one child.
birthdate (dd/mm/yy)
*
Grade
*
Allergies or Special needs
*
If your child has any allergies or special needs we should be aware of while he/she is in our care, please list them (in as much detailed as possible) below. Thank you.
Name, (child 3)
*
First
Last
birthdate (dd/mm/yy)
*
grade
*
allergies or special needs?
*
If your child has any allergies or special needs we should be aware of while he/she is in our care, please list them (in as much detailed as possible) below. Thank you.
Name, (child 4)
*
First
Last
birthdate (dd/mm/yy)
*
grade
*
allergies or special needs?
*
If your child has any allergies or special needs we should be aware of while he/she is in our care, please list them (in as much detailed as possible) below. Thank you.
Name, (child 5)
*
First
Last
birthdate (dd/mm/yy)
*
grade
*
allergies or special needs?
*
If your child has any allergies or special needs we should be aware of while he/she is in our care, please list them (in as much detailed as possible) below. Thank you.
Parent / Guardian Information
Name (parent / guardian 1)
*
First
Last
relationship to child(ren)
*
Mother
Father
Legal Guardian
Authorized Caregiver
Name (parent / guardian 2)
*
First
Last
relationship to child(ren)
*
Mother
Father
Legal Guardian
Authorized Caregiver
other information or questions
*
Please provide any other information that you feel would be helpful for us to know about your child(ren) and/or family. Thank you.
child(ren) lives with...
*
Mother
Father
Both Parents
Other
Submit
WATCH LIVE
plan a visit
Resources
Calendar
Blog
Sermons & Past Services
Families
Membership
ministries
Kids
>
Sports Camp
Youth
Music Ministry
Life Groups
Care & Connection
Training
Give
About Us
What We Believe
Meet Our Team
CONTACT