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2023-2024 Kid's Club Registration Form
Hillsdale Free Methodist Church - Wednesday Nights 6:45-8:00 PM for kids in kindergarten - 5th grade
Open gym from 6:30-6:45pm, United Worship in the sanctuary at 6:45pm.
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* Indicates required question
Email
*
Your email
Child's First Name
*
Your answer
Child's Last Name
*
Your answer
Child's Grade/Kid's Club Group
*
Choose
Kindergarten Girl
Kindergarten Boy
1st Grade Girl
1st Grade Boy
2nd Grade Girl
2nd Grade Boy
3rd Grade Girl
3rd Grade Boy
4th Grade Girl
4th Grade Boy
5th Grade Girl
5th Grade Boy
Child's Birth Date
*
MM
/
DD
/
YYYY
Street Address
*
Your answer
City
*
Hillsdale
Jonesville
North Adams
Osseo
Reading
Other:
Zip Code
*
Your answer
Emergency Contact Person
*
Your answer
Emergency Contact Phone number
*
Your answer
Special Needs - please list any allergies or special circumstances we should know:
Your answer
Parents - preferred method of contact for weekly Kid's Club Announcements (check all the ways you want to be contacted each week)
*
Email
Text Message
Facebook Messenger
Other:
Required
Information needed for Preferred Method of Contact (email address, phone number, FB name, etc. - if not already given):
Your answer
May the Hillsdale Free Methodist Church use your child's picture for promotional pictures on their website and/or in their Facebook Group?
*
Choose
Yes
No
A copy of your responses will be emailed to the address you provided.
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