Welcome to Surfside Kids!

at Harborside Christian Church

Every Sunday morning

Bring your kids a few minutes early on Sunday for our secure check-in system. Surfside Kids is a free ministry of Harborside Christian Church. It is for those children entering Kindergarten through those entering 5th grade.

Registration Form

All fields marked with an asterisk (*) are required!

Names Child's Name (one per form)*
Parent/Guardian Name(s)*

Child's Info Date of birth*
Gender*
Grade (Fall 2007)*

Contact Info Street Address*
City*
State*
Zip*
Home Phone*
Cell Phone
Work Phone
E-mail*
Alternate E-mail

Medical Information Medical Information (include any food allergies)

Emergency Contact Name*
Phone*
Name*
Phone*

Dismissal Information

Who may pick up your child at the end of the day?

Name
Phone
Name
Phone

Assignment Requests Please indicate any teacher/classmate requests for your child. We'll do our best to accommodate you.

Closing Ceremony On June 24, 2007, my child will participate in the*

Accepting Christ

Each child who makes a decision to accept Christ will be given a Spiritual Birth Certificate and informational letter to bring home. If you would like to be involved in this process, we can contact you by phone when your child makes a decision to accept Christ.

Contact me
I would like to be present
Contact me at

How Did You Find Us? Please let us know how you heard about our summer camp

Church Involvement

In order for us to measure the impact of our Summer Camp program in the community, please indicate which statement best describes your child. No names will be connected to the responses.

My child...*
If you child attends another church, where?

Volunteering I’d be interested in volunteering, please contact me!

Photography Release

We will be photographing and videotaping the events at Surfside Kids Summer Camp. By submitting your registration, you agree that your child may be photographed and videotaped. Photos and finished video production will be featured on the website and will be available to you as well.

I agree to these terms*