register for harvest kids

SKIP THE LONG LINE: REGISTER FOR HARVEST KIDS TODAY!

Speed up the children’s check-in process during your first visit to Harvest by completing the information below. Registration is for children from infants through fifth grade. (NOTE: We value your privacy and we are not going to share this info with anyone!)

PARENT/GUARDIAN INFORMATION

Parent/Guardian 1

First Name

Last Name

Email Address

Phone 1

(###)

###

####

Home Address

Parent/Guardian 2

First Name

Last Name

Email Address

Phone

(###)

###

####

INFO - CHILD 1

Child's Name

First Name

Last Name

Gender

Date of Birth

YYYY

Grade (If applicable)

Any special instructions (allergies, special needs)?

INFO - CHILD 2

Child's Name

First Name

Last Name

Gender

Date of Birth

YYYY

Grade (If Applicable)

Any special instructions (allergies, special needs)?

INFO - CHILD 3

Child's Name

First Name

Last Name

Gender

Date of Birth

YYYY

Grade (If Applicable)

Any special instructions (allergies, special needs)?

INFO - CHILD 4

Child's Name

First Name

Last Name

Gender

Date of Birth

YYYY

Grade (If Applicable)

Any special instructions (allergies, special needs)?

INFO - CHILD 5

Child's Name

First Name

Last Name

Gender

Date of Birth

YYYY

Grade (If Applicable)

Any special instructions (allergies, special needs)?

INFO - CHILD 6

Child's Name

First Name

Last Name

Gender

Date of Birth

YYYY

Grade (If Applicable)

Any special instructions (allergies, special needs)?

Questions? E-mail us at info@harvestfremont.org.