Hillview Church - Children Registration

Registration Form

Please fill out the form below to register your child for the Children's Ministry at Hillview Baptist Church!
PLEASE FILL OUT ONE FORM PER CHILD!

Child's First Name

Child's Last Name

Child's Date of Birth

Child's Current School Grade

Child's Gender
Male
Female

Allergy/Medical Information

Parent's First Name

Parent's Last Name

Address 1

Address 2

Country

City

State

Zip/Postal Code

Phone Number

Email Address

Relationship to Child

Emergency Contact First Name

Last Name

Emergency Contact Phone Number

Who may pick this child up?