Harvest Kids Registration

You can preregister your child before you visit New Harvest for the first time here:

Complete this form before you arrive so we have your child ready to check in when you arrive.

Parent Information
Please provide parent information below.
Parent Name*
First Last
Phone*
Parent Name
First Last
Phone
Contact information
Please provide email and address.
Email
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Child(ren)
Please list your child(ren) below.
1st Child's Name
First Last
1st Child's Birthday*
Date Format: MM slash DD slash YYYY
1st Child's Grade*
Please enter a number from 0 to 5.
Allergies/Medical Information of 1st Child
Please list any allergies your child has and any medications they may need while they are with us.
2nd Child's Name
First Last
2nd Child's Birthday*
Date Format: MM slash DD slash YYYY
2nd Child's Grade
Please enter a number from 0 to 5.
Allergies/Medical Information of 2nd Child
Please list any allergies your child has and any medications they may need while they are with us.
3rd Child's Name
First Last
3rd Child's Birthday
Date Format: MM slash DD slash YYYY
3rd Child's Grade
Please enter a number from 0 to 5.
Allergies/Medical Information of 3rd Child
Please list any allergies your child has and any medications they may need while they are with us.
4th Child's Name
First Last
4th Child's Birthday
Date Format: MM slash DD slash YYYY
4th Child's Grade
Please enter a number from 0 to 5.
Allergies/Medical Information of 4th Child
Please list any allergies your child has and any medications they may need while they are with us.

Parent Information