CLICK HERE TO PRINT OUT THE SUMMER REGISTRATION FORM.

STOP!!! If you are looking for the Summer Enrichment Program or the FCS Summer School program, THIS IS NOT IT. This is only a week-long day camp. You must check the FCS website to find out about registering your child for summer school.

SUMMER SMASH II: August 25 - 29, 2008

Welcome to the Summer Smash II Day Camp! Join Harbor Light's Children's Ministries Department for five-days of fun and games. We plan to have two fieldtrips, one on Tuesday to Sky High in Santa Clara and the other on Thursday to Pump-It-Up in Union City. Both require waivers which must be submitted with the registration form. Check our Fieldtrips & Activities page for more information.

Click here for Sky High Waiver (required for 8/26 fieldtrip)

Click here for Pump-It-Up Waiver (required for 8/28 fieldtrip)

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 in at the address listed.  On-line registration is now available for both daily and the full five days.  Call Children's Ministries if you have any questions: (510) 744-2233

Name of Child:       Grade: 

Name of Child:       Grade: 

Name of Child:       Grade: 

Name of Parent or Guardian: 

 Please check here if you need Before / After care.

Permission Slip and Medical Release Form:

I,  give my permission for   to be part of the "Summer Smash" 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 and sign this permission slip when dropping off your child.

NOTE: Discounts are not available when you register on-line. Print out the registration form at the top of the page and follow the directions.