Awesome April Registration Form

CLICK HERE DOWNLOAD THE '08-'09 REGISTRATION FORM.

**HOW ABOUT A DISCOUNT? Would you like to register you child for all five (5) day camps and experience a HUGE discount? You may fill out this registration form and hit the submit button. The next page will ask you how you would like to pay for this camp. Simply click on the credit card payment method. When you get directed to the Store, click on the payment for all five day camps for one child or for two or more children. It's as simple as that!**

Join Harbor Light's Children's Ministries Department for 4 days of fun and games. We plan to take one fieldtrip during the week so check the Fieldtrips & Activities page to find out more.

You may print out a registration form at home and drop it off with a picture of your child(ren) and your payment in the Business Office slot which is open 24/7, or you may mail it to Harbor Light Church, Attention: Children's Ministries, 4760 Thornton Avenue, Fremont, CA  94536.

Call Children's Ministries if you have any questions: (510) 744-2233

Camp I am Registering for: 

Name of Child:       Grade:     Age: 

Name of Child:       Grade:      Age: 

Name of Child:       Grade:      Age: 

Name of Parent or Guardian: 

I will need Before/After Childcare

Permission Slip and Medical Release Form:

I,  give my permission for   to be part of the  program at Harbor Light Assembly of God.  I hereby authorize the leaders of the group to take the above named child(ren) to a doctor or hospital for treatment in case of emergency.

Doctor's Name:       Dr. Phone: 

Health Ins. Co:       Group No.: 

Parent's Work No.:       Parent's Cell: 

Allergies of Child(ren): 

Additional Comments/Concerns: 

First Day Notes:  You'll need to bring in pictures of each child, waiver form, and sign this permission slip when dropping off your child.