HKM - Child Info and Care Form

Helping us love and care for your child with excellence!

Welcome to Hillside Kids!
We're so excited to spend time with your child. To help us provide the best possible care and create a safe, loving environment, please take a moment to share any information that will help us support your child well. We're so glad you're here!

Your name *

Email address *

Child's Full Name *

Please enter your child's full name.

What is your child's date of birth? *

What is your child's current grade?

Please list any allergies or medical conditions your child has that we should know about.

At Hillside Kids, safety is a top priority. Please include anything we should know (e.g., food allergies, asthma, medications, etc.).

If your child has any special needs, behavioral considerations, or developmental differences that we should be aware of, please list them below.

Our team is here to support your child with love and understanding. Share whatever you feel comfortable with.

Are there any strategies or calming techniques that work well for your child?

We want every child at Hillside Kids to feel seen, secure, and loved. Let us know what helps your child thrive.

If there is anything you'd like to share that would help us care for your child while they're with Hillside Kids, please share below.

This might include comfort items, personality notes, or anything that helps them feel safe and at ease.

Would you be interested in learning more about volunteering with Hillside Kids? *

Yes, please contact me.

Not at this time.

I currently serve with Hillside Kids.

Parent or Guardian filling out this form: *

Please enter your first and last name.

What is the best way to contact you? Please enter a phone number or email below. *

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