Thanks for registering for The Harbor's fall 2017 session.

Please make sure to review the program and class descriptions at www.northcoastcalvary.org/harbor before completing this form.

Let's begin by getting some information about you, the parent:
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Parent's First Name: *

 
{{answer_57885674}}'s Last Name: *

 
City: *

 
Zipcode: *

 
Address: *

 
Best Phone #: *

 
Phone type: *


 
How will you be involved? *


 
Which class will you take? *


 
Do you have a spouse taking this class with you? *


 
Do you have a spouse taking the Couple Talk 2 class with you? *


 
What is your spouse's name? *

 
Which class will {{answer_57886321}} take? *


 
Where would you like to volunteer? *


 
Does your spouse want to volunteer? *

     
 
What's your spouse's name? *

 
Where would {{answer_58147094}} like to volunteer? *


 
Best phone # to reach them: *

 
Would you like to register a child? *

     
 
Child's First Name: *

 
{{answer_58056119}}'s Last Name: *

 
{{answer_58056119}}'s Gender: *


 
Does {{answer_58056119}} have any allergies or special needs? *

     
 
Please list {{answer_58056119}}'s allergies and/or special needs: *

 
What grade will {{answer_58056119}} be in during the 2017-2018 school year? *

Kids 7th grade & up don't need to register. But, remember to include them in the number of meals you want, if you are pre-purchasing meals.

 
Childcare for Pre-K and younger is only available for parents who are attending a Harbor class or volunteering in the program

 
Choose a program for {{answer_58056119}} *


 
Choose a program for {{answer_58056119}} *


 
What is {{answer_58056119}}'s shirt size? *


 
What is {{answer_58056119}}'s birthdate? *

 
Do you want to register another child? *

     
 
Child's First Name: *

 
{{answer_58275388}}'s Last Name: *

 
{{answer_58275388}}'s Gender: *


 
Does {{answer_58275388}} have any allergies or special needs? *

     
 
Please list {{answer_58275388}}'s allergies and/or special needs: *

 
What grade will {{answer_58275388}} be in during the 2017-2018 school year? *

Kids 7th grade & up don't need to register. But, remember to include them in the number of meals you want, if you are pre-purchasing meals.

 
Childcare for Pre-K and younger is only available for parents who are attending a Harbor class or volunteering in the program

 
Choose a program for {{answer_58275388}} *


 
Choose a program for {{answer_58275388}} *


 
What is {{answer_58275388}}'s shirt size? *


 
What is {{answer_58275388}}'s birthdate? *

 
Do you want to register another child? *

     
 
Child's First Name: *

 
{{answer_58276117}}'s Last Name: *

 
{{answer_58276117}}'s Gender: *


 
Does {{answer_58276117}} have any allergies or special needs? *

     
 
Please list {{answer_58276117}}'s allergies and/or special needs: *

 
What grade will {{answer_58276117}} be in during the 2017-2018 school year? *

Kids 7th grade & up don't need to register. But, remember to include them in the number of meals you want, if you are pre-purchasing meals.

 
Childcare for Pre-K and younger is only available for parents who are attending a Harbor class or volunteering in the program

 
Choose a program for {{answer_58276117}} *


 
Choose a program for {{answer_58276117}} *


 
What is {{answer_58276117}}'s shirt size? *


 
What is {{answer_58276117}}'s birthdate? *

 
Do you want to register another child? *

     
 
Child's First Name: *

 
{{answer_58278743}}'s Last Name: *

 
{{answer_58278743}}'s Gender: *


 
Does {{answer_58278743}} have any allergies or special needs? *

     
 
Please list {{answer_58278743}}'s allergies and/or special needs: *

 
What grade will {{answer_58278743}} be in during the 2017-2018 school year? *

Kids 7th grade & up don't need to register. But, remember to include them in the number of meals you want, if you are pre-purchasing meals.

 
Childcare for Pre-K and younger is only available for parents who are attending a Harbor class or volunteering in the program

 
Choose a program for {{answer_58278743}} *


 
Choose a program for {{answer_58278743}} *


 
What is {{answer_58278743}}'s shirt size? *


 
What is {{answer_58278743}}'s birthdate? *

 
Do you want to register another child? *

     
 
Sorry, we can only register 4 kids at a time. After completing this form please register them separately.

 
Your Total is {{var_price}} *

 
Please enter your Credit or Debit Card number: *

 
The CVC number: *

(3 or 4 digit security number on the back of your card)
 
The name on your card: *

 
Your card's expiry month: *


 
Your card's expiry year: *


Thank you, you're all set.

Please note that programs for kids K-6 run from 6:00-7:30PM. There is free aftercare for kids whose parents are taking Financial Peace University and Ignite the Fire, since those classes go until 8:00PM.

If you did not pre-purchase meals, you will still have a chance to buy meals week-to-week. We will send those reminders to the email you gave us just now when you registered.

If you are taking Financial Peace University, click the button below to order the materials.

We look forward to having you join us at The Harbor!
Financial Peace University Materials
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