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Nursery Registration & Updated Information Form
If your child is attending Harvest and is between the age of birth and age 4, please provide us with the following information to assist in his or her best care during worship service.
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Child's First and Last Name
Your answer
Child's Birthdate
MM
/
DD
/
YYYY
Parents' First and Last Names
Your answer
Cell Phone #
Your answer
My child is:
In diapers
Currently potty-training
Potty-trained
My child may drink from:
Bottle (brought from home)
Sippy cup (brought from home)
Regular cup
My child may eat:
Snack, packed at home, in his/her bag
goldfish
animal crackers
any snack available
no snack
Does your child have any allergies or other medical concerns we need to be aware of?
Your answer
Do you have anything else you want us to know about your child? i.e. Best way to comfort your child, favorite toy, etc.
Your answer
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