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HBC Kidz Registration
Please fill out this form for your child that is attending HBC Kidz from 6:00-7:00 PM on Wednesdays at Highview Baptist Church. Children ages 4 years-5th grade are welcome to join us! All of this information will go to ensure your child's safety. Please feel free to contact us with any questions or concerns.
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Child's Name
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Your answer
Parent/Guardian Name
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Your answer
Address
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Your answer
2023-2024 Grade Level
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Your answer
Preferred Telephone Number
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Your answer
Medical and other information we need to know. (Please include any food allergies.)
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Your answer
Emergency Contact-Name and Number
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Your answer
Who may pick your child up from HBC Kidz?
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Your answer
Do you currently attend church? If so, where?
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Your answer
Will your child need church provided transportation for HBC Kidz?
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Yes
No
May we have permission to photograph your child and use their picture in church publications? (Church Facebook page, website, Chillicothe newspaper, etc.)
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Yes
No
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