Church School Registration

Guardian/Parent(Required)

Guardian/Parent 2

(if applicable)

Phone(Required)

Email(Required)

Address(Required)

Street Address City State ZIP Code

Number of Children you are Registering(Required)

Name(Required)

First Last Grade Allergies

Date of Birth(Required)

Details

Please provide any information about your child that would help teachers and volunteers to best support your child's experience at HCC.

Name Child 2(Required)

First Last Grade Allergies

Date of Birth(Required)

Details

Please provide any information about your child that would help teachers and volunteers to best support your child's experience at HCC.

Name Child 3(Required)

First Last Grade Allergies

Date of Birth(Required)

Details

Please provide any information about your child that would help teachers and volunteers to best support your child's experience at HCC.

Name Child 4(Required)

First Last Grade Allergies

Date of Birth(Required)

Details

Please provide any information about your child that would help teachers and volunteers to best support your child's experience at HCC.

Video/Photo Release(Required)

I hereby consent that the videotapes, photographs and/or audio recordings that may include my child may be used by Hingham Congregational Church, Hingham, Massachusetts. Please indicate Yes by entering your initials; indicate No by typing NO. * We will never use names with any of the photos.

Additional Information

Is there any additional information we should know about your family?

Are you sure?