Registration for SMAK

Registration Fee - $25.00/child, not to exceed $40.00/family
Online Registration is not complete until payment is received by the Church Office.
(Make checks payable to Hillcrest.)

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* Indicates Required Fields

First Name:* Last Name:* Date Of Birth (mm-dd-yyyy):* Gender:* Grade Just Completed:* Shirt Size:* Choose One Youth 6/8 Youth 8/10 Youth 10/12 Youth 14/16 Adult S Adult M Adult L
Address:* City:* State:* Postal Code:* Home Phone (###-###-####):* Cell Phone (###-###-####):* Parent/Guardian:* Parent/Guardian Email Address:* Emergency Contact:* Emergency Number (###-###-####)(Cell preferred):* Parent/Guardian Location On Campus:* Allergies or Special Needs (If none please fill in none):* Authorized To Pick Up (1):* Authorized To Pick Up (2):* Church Member:* Choose One Yes No
If Yes to Previous, Where: Photo/Video Release | I authorize the release of my child
to appear in photos and videos, including our website, while
participating in HBC's AWANA Club. All photos and videos are
property of Hillcrest Baptist Church and/or its affiliates.:*
Choose One Yes No
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