HessmerKids Registration

HessmerKids Registration

Thank you for allowing your kids to be a part of HessmerKids!

Please fill out every line of the form. If the form submits correctly, you will see a confirmation at the bottom of the screen, and you will receive a confirmation email.

Child's Information


Parent or Legal Guardian's Information










Does your child have any allergies or medical conditions we should be aware of?

If yes was selected, please fill in the information in the box below

Please provide 3 emergency contact names & numbers.


Who can pick you child up from church?


Does your child need the church van to bring him/her to or from church? (required)

Would you allow your child to come to our church on Sunday mornings?

Do you attend a church?

Can we photograph your child?
Pictures may be used on the church's website, Facebook, and in other promotional materials associated with Hessmer Baptist Church.