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Registration Form - Hillcrest Children's Ministry
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* Indicates required question
Child's Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Address
*
Your answer
Legal Guardian #1 Name
*
Your answer
Legal Guardian #1 Phone Number
*
Your answer
Legal Guardian #2 Name
Your answer
Legal Guardian #2 Phone Number
Your answer
Legal Guardian's email address
*
Your answer
In addition to the legal guardians listed above, the following people have permission to pick up my child.
Your answer
* I understand
*
I understand that proper ID must be shown at time of pick up and my child will only be released to the people listed on this form.
Required
If there are any special considerations that we should be aware of regarding your child, please list them below. (Ex. allergies, custody issues, medical issues, etc.)
Your answer
By signing
below
, you give
consent
for Hillcrest Baptist Church to take photos of your child to be used
in
publication
s s
uch
as social media
,
church website
, etc.
*
Your answer
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