Colonial Hills Baptist Church

Family/Parent Information – Step 1 of 5

How many children will you be registering for Summer Bible Club 2026? *

Parent's Name *

First

Last

Parent's Address (line 1) *

Parent's Address (line 2)

City *

State *

Zip *

Parent's Phone Number *

Parent's Email

Name of Person Authorized to Pick Up Child/Children *

First

Last

Emergency Contact Name *

First

Last

Emergency Contact Phone Number *

Child's/Children's Relationship to Emergency Contact *

Home Church

Child:

Child's Name: *

First

Last

Child's Gender: *

Please select the events your child has attended at Colonial Hills Baptist Church: *

Child's Age as of June 6, 2026: *

Child's School Grade in the fall of 2026: *

Child's Allergies: *

Please list any allergies or put “none” if your child does not have allergies.

Child's Medical Conditions: *

Please list any medical conditions your child has, or put “none” if your child does not have any medical conditions.

What size t-shirt (Gildan brand, 50/50 blend) does your child wear? *

Second Child:

Second Child's Name:

First

Last

Second Child's Gender:

Please select the events your second child has attended at Colonial Hills Baptist Church:

Second Child's Age as of June 6, 2026:

Second Child's School Grade in the fall of 2026:

Second Child's Allergies

Please list any allergies or put “none” if your child does not have allergies.

Second Child's Medical Conditions:

Please list any medical conditions your child has, or put “none” if your child does not have any medical conditions.

What size t-shirt (Gildan brand, 50/50 blend) does your second child wear?

Third Child:

Third Child's Name

First

Last

Third Child's Gender:

Please select the events your third child has attended at Colonial Hills Baptist Church:

Third Child's Age as of June 6, 2026:

Third Child's School Grade in the fall of 2026:

Third Child's Allergies:

Please list any allergies or put “none” if your child does not have allergies.

Third Child's Medical Conditions:

Please list any medical conditions your child has, or put “none” if your child does not have any medical conditions.

What size t-shirt (Gildan brand, 50/50 blend) does your third child wear?

Fourth Child:

Fourth Child's Name

First

Last

Fourth Child's Gender:

Please select the events that your fourth child has attended at Colonial Hills Baptist Church:

Fourth Child's Age as of June 6, 2026:

Fourth Child's School Grade in the fall of 2026:

Fourth Child's Allergies:

Please list any allergies or put “none” if your child does not have allergies.

Fourth Child's Medical Conditions:

Please list any medical conditions your child has, or put “none” if your child does not have any medical conditions.

What size t-shirt (Gildan brand, 50/50 blend) does your fourth child wear?