Relax Kids Registration Form

Christian Church of Hillsboro

2024 Registration
Church MemberNew Family
Child's Name *

First NameLast Name
Name your child goes by if different from the name listed above.
Gender*
Birth Date*

MonthDayYear
Date
Age*
As of January 1, 2022
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian - 1 Name*

First NameLast Name
Parent/Guardian - 1 Phone Number*
Format: (000) 000-0000.
YesNo
Parent/Guardian - 1 Email*
example@example.com
TextCallEmailBloomz
Do you wish to receive group emails?*
Email is one of our primary forms of communication, so at least one parent/guardian must receive group emails.
Parent/Guardian - 2 Name:*

First NameLast Name
Parent/Guardian - 2 Address: (Complete if different from Child's address)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian - 2 Phone Number
Format: (000) 000-0000.
YesNo
Parent/Guardian - 2 Email
example@example.com
TextCallEmailBloomz
Do you wish to receive group emails?
Email is one of our primary forms of communication, so at least one parent/guardian must receive group emails.
Indicate your Day Preferences

Monday through Friday class will be held from 9:00-11:30 AM. You will get to choose which days and how many days your child will attend.
2 days $135/month3 days $180/month4 days $240/month5 days $300/month
MondayTuesdayWednesdayThursdayFriday
MondayTuesdayWednesdayThursdayFriday
MondayTuesdayWednesdayThursdayFriday
Terms and Conditions: Registration isn't complete until we have received your $50 Registration fee. This fee is only refunded if the class placement is not offered. Only one registration fee is required per family. Payments can be made by: Mailing or dropping off a check made payable to Christian Church of Hillsboro (Make the memo out to Kids with Soul Preschool and include child’s name); 540 NE Edison St. Hillsboro, OR 97123 February 2024 tuition is due within 5 business days of class placement offer in order to hold your child's spot. Every effort is made to place your child into their day choice, however, your first choice is not a guarantee. Thank you for your understanding!
Signature
Should be Empty:

Christian Church of Hillsboro

Indicate your Day Preferences