MISSIONETTE INFORMATION

 "Friend's" Name: 

Street Address: 

City, State & Zip: 

Home Number: 

"Friend's" Cell Number: 

"Friend's" Birthdate: 

6th Grade       7th Grade       8th Grade 

Parent's Name: 

Parent's Email Address: 

"Friend's" Email Address: 

This registration form will be sent directly to Children's Ministries once you hit the SUBMIT button.  Your signature and date are required so please sign and date the hardcopy which your daughter's Sponsor will have.

Club Registration will take place on Sunday, September 16, 2007 at 6:00 p.m. in the Activities Building.  See you there!  If you have any questions, you may email Children@harborlight.com or call (510) 744-2222.

Click here for the Registration Flyer for 2007-2008.