Hilltop Community Church of Richmond, California

Hilltop Community Church • 3118 Shane Drive • Richmond, California 94806 • (510) 223-2431

For problems concerning this website contact us .

If you wish to be a leader, please go here to send us a message.

Parent/Guardian/Responsible Adult
Name
Address
City
Zip
Phone
Email
Relationship to Child(ren)
Regular Attender Guest Visitor
Children's First / Last Name
Child 1	Birthday Grade M F
Child 2	Birthday Grade M F
Child 3	Birthday Grade M F
Child 4	Birthday Grade M F
TERMS AND CONDITIONS: I hereby give permission for my child/children to participate in KidzMania Night Camp 2009. I agree not to hold Hilltop Community Church, its employees and volunteer assistants liable for any injuries incurred during participation in this event. I hereby discharge Hilltop, its employees and volunteers from all actions, claims, and demands for any such injury. Video/still pictures may be used only for promotional purposes. MUST READ AND CHECK BOX . By checking box, I agree to the terms and conditions. Must Check Box to Continue
click here to