HCN New Kid Check-In Form

Thank you for visiting HCN! We are so excited to meet you! Please fill out this form and click submit.

Your Information (parent/guardian)

Name

*

Email

*

This address will receive a confirmation email

Cell Phone

*

Home Phone

Address

*

Your Birthday

Child Information

Child 1 (first & last name)

*

Child 1 Grade

*

Please select one option.

Nursery Preschool Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade

Child 1 Birthday

*

Child 1 allergies

*

Child 2 (first & last name)

Child 2 Grade

Please select one option.

nursery preschool kindergarten 1st grade 2nd grade 3rd grade 4th grade 5th grade 6th grade

Child 2 Birthday

Child 2 Allergies

Please list all other children you are checking in today (name, birthday, grade, allergies)

Emergency Information

Emergency Contact Name

*

Emergency Contact Phone Number

*

Snacks

My child may have a snack (goldfish or animal crackers) during KidMin activities.

*

Please select one option.

Yes No

HCN Happenings

I would like to subscribe to receive emails and text alerts from HCN

*

Please select one option.

Yes! Not at this time.

Description

Thank you for visiting HCN! We are so excited to meet you! Please fill out this form and click submit.

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