Harbor Family Contact Card

Welcome to The Harbor! By completing this form you are entering your family into our Check-ins data base for Sunday morning services and other events. If you have any issues with this form, please email kelsey.matt@theharbor.life with questions or concerns. Kids Ministry serves children aged 2 months - 5th grade and their families. Student Ministry serves students 6th-12th grade and their families. Please begin this form with YOUR information (adult). (Please indicate the grade your child is in at time of Registration, not the grade they'll be going on to in the Fall.)

Your name *

Email address *

Phone number *

Birthdate *

Gender *

Household members

Please list any allergies, medical conditions or disabilities that we may need to know about your child(ren) in their "Medical Notes". Keep in mind what you list will print on their name tags. We'll have another place below to list any additional concerns.

PLEASE ONLY PROCEED to add your Address AFTER You have successfully added and verified your spouse and children just above. Thank you!

Address *

Phone number *

Photo Permission? *

I hereby ___________ permission for photographs of my child(ren) (listed above)to be used in publications produced by The Harbor and for The Harbor website. I understand that my child(ren)'s name will not be used on any publications or on the website.

Same Household? *

Do the parents live in the same household? VERY IMPORTANT: If there are any custodial concerns, please contact the appropriate person below.

Kelsey- kelsey.matt@theharbor.life (Infant Pre -K 2 months-Pre-K)
Ferrin - ferrin.gillespie@theharbor.life (Elementary K - 5th grade)
Shireen- shireen.rooker@theharbor.life (Students 6th - 12th grade)
Justin.ruszkiewicz@theharbor.life(Students 6th-12th grade)

Please provide parent/guardian's first names (example: Joseph & Mary) *

Medical note *

Is there anything about your child we should know that would best help us serve them? *

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