Children's Ministry Registration
Year 2019-2020 for Hillside Church, 201 Culbreth Rd, Chapel Hill NC 27516
Child's Last Name *
Your answer
Child's First Name *
Your answer
Child's Birthday *
Please overwrite '2019' with birth year
MM
/
DD
/
YYYY
Child's Grade in Fall 2019 *
Your answer
List any allergies or medical conditions
Your answer
Parent/Caregiver's Name (first name, last name) *
Your answer
Address *
Your answer
Phone Number *
Your answer
Email *
Your answer
Child's Planned participation
Please contact me, I would like to volunteer
Submit
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