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Hillside Child Registration Form
Please complete the following form for your child(ren). Only one form per family is necessary.
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* Indicates required question
Email
*
Your email
Child Name(s)
*
Your answer
Parent/Guardian Name(s) Allowed to Pick Child(ren) up
*
Your answer
Parent's Phone Number (that we could text should any issues arise)
*
Your answer
Address
*
Your answer
Child(ren) Birthday(s) (please specify whose, if multiple children)
*
Your answer
Allergies/special concerns
*
Your answer
Potty Training Issues (if any)
*
Your answer
A copy of your responses will be emailed to the address you provided.
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