Hilltop Christian School - Registration 16-17Enter or review/update the information belowClick the "Create Registration Forms" button at the bottom of the pagePrint and Sign the formsTurn in forms to the HCS office Student InformationGradeFirst NameMiddle NameLast NameBirthdateStreet AddressCity,State ZipBirth Place K12345678 K12345678 K12345678 Parent / Guardian InformationTypeNameWork PhoneCell PhoneHome PhoneEmailOccupationStreet AddressCity,State Zip FatherMotherGuardianStepfatherStepmotherGrandmotherGrandfather FatherMotherGuardianStepfatherStepmotherGrandmotherGrandfather Emergency Contacts InformationNamePhoneAddressRelationship to Student Student's Physician(s) InformationNamePhoneAddress People who can pick up Student - Enter information for people who will be allowed to pick up your child(ren) from Hilltop Christian School.NameWork PhoneCell PhoneHome PhoneMessageRelation to StudentStreet AddressCity,State Zip Media Release - This is to certify that I give permission to use photos and/or videos of my student(s) for use on the website, and in various school publications and printed media. Use of Media allowed Use of Media allowed only in group photos of videos Use of Media not allowed Payment Options - We offer the option of having your tuition automatically taken from you bank account(s) if you forget to pay it by the 10th to avoid having to deal with the 2% late fee. Automatically Debit my checking account if I don't pay by the 10th I understand that a 2% late fee will be applied if my tuition is not paid by the 10thWe also offer the option to have your tuition paid automatically each month. You will receive a statement by the 1st of the month and the automatic payment will be made after the 5th of the month. Check here if you would like the convenience of automatic payment. You also have the option of requesting automatic payments from the PARENT section on the web page.