Child's Name 

Child's Class in the fall of 2007 (Please choose from the list below)

Toddler /  Preschool  Kindergarten / 1st Grade Grades 2 & 3 Grades 4 & 5

 Please help the HopeKidz teachers get to know your child by telling us something about him/her...

Does your child have any allergies?    Yes     No     Please Explain

Parent/s name/s     E-Mail

Home Phone           Cell Phone 

Home Address City   Zip                                    

Would you be willing to help out in your child's class in the following areas? (See Below)

Provide Juice & Snack                    Teach your child's class                 Teach your child's class  

For 1st grade and up, please provide us with you child's year of graduation.  CoH is updating out data and it is helpful for the Youth Team to look ahead.  Thanks!

                   2015                 2016               2017                   2018                     2019