Hilltop Church - Registration

Child's Name

First Name

Last Name

Grade

Birthdate

Additional Child(s) Info

First Name

Last Name

Grade

Birthdate

Address 1

Address 2

City

State

Zip/Postal Code

Emergency Contact Info.

First Name

Last Name

Phone Number

Email

Allergies

Any Pertinent Medical Info

Can We use photos/videos on social media and website?