HBC Kidz Registration
Please fill out this form for your child that is attending HBC Kidz from 6:00-7:00 PM on Wednesdays at Highview Baptist Church. Children ages 4 years-5th grade are welcome to join us!  All of this information will go to ensure your child's safety.  Please feel free to contact us with any questions or concerns.
Sign in to Google to save your progress. Learn more
Child's Name *
Parent/Guardian Name *
Address *
2023-2024 Grade Level *
Preferred Telephone Number *
Medical and other information we need to know. (Please include any food allergies.) *
Emergency Contact-Name and Number *
Who may pick your child up from HBC Kidz? *
Do you currently attend church? If so, where? *
Will your child need church provided transportation for HBC Kidz? *
May we have permission to photograph your child and use their picture in church publications? (Church Facebook page, website, Chillicothe newspaper, etc.) *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy