High Five 2024 Registration
**If you have multiple children you wish to register, you will need to fill out a new registration form for each child.**
Child's Name
*
First Name
Last Name
Child's Grade in Fall
*
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Please choose grade that follows Iowa school calendar.
Elective FIRST Choice -- all of these electives are offered for every age group EXCEPT Cartwheels. Electives are first come, first serve basis and may fill up quickly! All elective descriptions are on our website.
*
Cartwheels (ONLY kids entering Kindergarten - 2nd Grade)
Tabletop Adventures
Master Chef (AT CAPACITY)
Game On
Nimble Needles
Build It
Elective SECOND Choice -- -- all of these electives are offered for every age group EXCEPT Cartwheels. Electives are first come, first serve basis and may fill up quickly! All elective descriptions are on our website.
*
Cartwheels (ONLY kids entering Kindergarten - 2nd Grade)
Tabletop Adventures
Master Chef (AT CAPACITY)
Game On
Nimble Needles
Build It
Child's Gender
*
Male
Female
Child's Birth Date
*
Please select your child's t-shirt size
*
Youth Small
Youth Medium
Youth Large
Youth XL
Adult Small
Adult Medium
Please let us know of any medical needs/allergies your child may have
I consent to allow Harvest Bible Chapel to transport my child for certain High Five Camp electives
*
Yes
No
To show the fun and excitement of High Five Camp, pictures of my child may be used on print material, Harvest's website or social media
*
Yes
No
Do you have another child you wish to register?
Yes
No
Configurable list
*
Back
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Parent/Guardian One Name
*
First Name
Last Name
Parent/Guardian Two Name
First Name
Last Name
Parent/Guardian Email
*
example@example.com
Parent/Guardian Phone
*
Please enter a valid phone number.
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone
*
Please enter a valid phone number.
How did you hear about High Five Camp
*
Church
Friend
Social Media
Email
Outside Banner
Other
Do you currently have a church home? If so where?
Submit
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