Church School Registration Guardian/Parent(Required) Guardian/Parent 2 (if applicable)Phone(Required)Email(Required) Address(Required) Street Address City MAAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Number of Children you are Registering(Required)One Child2 Children3 Children4 ChildrenName(Required) First Last Grade Allergies Date of Birth(Required) MM slash DD slash YYYY 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) MM slash DD slash YYYY 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) MM slash DD slash YYYY 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) MM slash DD slash YYYY 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 InformationIs there any additional information we should know about your family?
