Hillcrest Church
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    Hillcrest Children/Student Registration


    Children






    Confirmation Signature

    Activities Consent


    Medical Information

    This information is required for all activities outside of Sunday School, or when parents are not present.
    Please be specific for each child or type "none" if none of your children have allergies.
    I consent to any x-ray examination, anesthetic, medical, or surgical diagnosis or treatment and hospital care under the general or special supervision and upon the advice of or to be rendered by a physician and surgeon licensed under the Medical Practice Act for my child. This authority also extends to any x-ray examination, anesthetic, dental, or surgical diagnosis or treatment and hospital care by a dentist licensed under the Dental Practice Act for my child. I further agree to pay all charges for the dental, medical, or hospital care or treatment.

    As parent or legal guardian of my child, I am responsible for the health care decisions of my child and am authorized to consent to the services to be rendered. I represent that my consent to and agreement to pay for the dental, medical, or hospital care or treatment to be rendered to my child is legally sufficient and that no consent from any other person is required by law.

    Transportation Consent

    As the parent or legal guardian of my child/ren, I hereby consent for my child/ren to be transported to activities off of Hillcrest’s campus by Hillcrest’s paid staff, student ministries’ volunteers, children’s ministries volunteers and/or Powerhouse volunteers. By marking "YES" below, I agree to this statement and understand that it serves as my signature.

    Emergency Contact Information

    This information is recommended for all registered children and required for all children participating in activities without a parent present and for all students participating in 180 activities. Please provide name and phone number of someone other than parent and/or guardian previously listed.

Submit
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Copyright © 2020   .  Hillcrest Church  .  4301 E. 26th St., Sioux Falls, SD 57103  .  605-371-0546  .  hillcrest@siouxfallschurch.com
  • Home
  • About
    • Discover Hillcrest
    • Giving
    • SCRIP
    • Contact
    • Staff
    • Elders
    • Media
  • Ministries
    • Adults >
      • Small Groups
    • Students
    • Children
  • Missions
    • Adoption & Foster Care
    • Cleveland Elementary
    • Ethiopia
    • Other Missions
  • Events
    • Upcoming Events
    • Event Calendar
    • Event Submission
  • Messages
    • Sunday Sermons
    • Sunday's Bulletin
    • Daily Devotional