Hillside VBS 2025 Registration
July 14 - 18 | Please fill out this form and click submit for each child who will be attending Summer Kids Week VBS at Hillside. Thank you!
July 14
(Monday)
- July 18
(Friday)
Families are welcome to join us for dinner at 5:30 before the program starts at 6:00 on Monday through Thursday.
Friday night is a special family night at 6:00pm.
Each child must be registered separately.
Child Information
Child Name
*
Gender
*
Please select one option.
Male
Female
Birthday
*
Grade Completed (in May 2025)
*
Please select one option.
Preschool
Kindergarten
1st
2nd
3rd
4th
5th
6th
Allergies, Medical, & Special Needs (leave blank if none)
Family Information
Parent Name (First & Last)
*
Mobile Phone
*
E-mail
*
This address will receive a confirmation email
Address
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Alternate Emergency Phone #
Full Name #2 authorized to pick up child
Full Name #3 authorized to pick up child
Does your family attend a church?
Please select one option.
No
Yes
I'd like more info about Hillside
Permissions
Do we have permission to photograph your child?
*
Please select one option.
Yes
No
Do we have permission to use your child's photograph in church publications?
*
Please select one option.
Yes
No
Submit
Description
July 14 - 18
Please fill out this form and click submit for each child who will be attending Summer Kids Week VBS at Hillside. Thank you!
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