Harvest for Lost Souls Outreach Ministry - "Investing in the Rest, so that God can Produce the Best!"
Put Some Respect On God's Name T-Shirt Order Form
Youth Size:
Small
Medium
Large
Adult Size:
Small
Medium
Large
X-Large
1x
2x
3x
4x
Prices as follow, Youth size $10.00, Adult size $12.00, Adult X sizes $14.00
Name:
Address:
Phone:
Payment Type:
Cash
Check
Credit/Debit Card
PayPal
We have provided this Ministry Website to acquaint you with more information about Harvest For Lost Souls including our diverse areas of ministry.  If we can be of assistance or minister to you in any of these areas, please contact us. We look forward to seeing you again!


2016 Summer Camp & VBS Registration
Parent/Guardian
Address:
City:
State:
Zip Code:
Phone:
Cell:
Email:
Emergency Contact
Name:
Relationship to Child:
Phone:
Cell:
Transportation
Who can pick up your child other than parent/guardian?
If you need Van Transportation please check the box below
Church van transportation
Release Wavier: You the parent/guardian of the child(red) listed below grant permission for my child(red) to fully participate in Harvest for Lost Souls Summer Camp and/or VBS. I hereby waive, release, absolve, indemnify, and agree to hold harmless Harvest for Lost Souls Church, Pastors, Staff, Volunteers and all its participants or being transported to and from this event. Therefore, I assume all risks of injury, damage to property, or expenses as a result of participation in activities at Harvest for Lost Souls Summer Camp and VBS.
By Checking on the box below you agree to this Release Wavier
I agree
1. Child's full name and age:
2. Child's full name and age:
3. Child's full name and age:
4. Child's full name and age:
5. Child's full name and age:
6. Child's full name and age:
List any allergies/medical needs for each child, make sure you say which child: