Harvest Kidz Zoom Registration Form
ONE Time Registration only
* Required
To register for Saturday or Sunday Zoom Service?
*
Saturday Service
Sunday Service
Child's Name
*
Your answer
Child's Age (according to birth year)
*
Choose
2
3
4
5
6
7
8
9
10
11
12
Service the child is attending
*
Choose
Sat 2 Year Old
Sat 3 Year Old
Sat 4-6 Year Old
Sat 7-8 Year Old
Sat 9-10 Year Old
Sat 11-12 Year Old
Sun 2 Year Old
Sun 3 Year Old
Sun 4-6 Year Old
Sun 7-8 Year Old
Sun 9-10 Year Old
Sun 11-12 Year Old
Non City Harvest
Parent's Contact Number
*
Your answer
Parent's Email
*
Your answer
Address
*
Your answer
Any sibling currently in Harvest Kidz (2-12 year old)?
*
Yes
No
Next
Never submit passwords through Google Forms.
This form was created inside of City Harvest Church.
Report Abuse
Forms
