Guest Information

  Name: 

  Address: 

  City:         State:         Zip Code:   

  Phone:         E-mail:     

  How did you hear about Harvest Time: 

  Age Group:    

  Are any children living at home:  Yes   No                                              

  If yes please enter name & age of each child: 

  Please check ministries that you would like more information about:

  Early Childhood Ministry (Ages infant through 4) 

  MOPS Ministry (Mothers of Preschoolers)   Teen MOPS Ministry 

  Kids Church (Ages 5-12)

  MPact Girls (Girls ages 6-12)  Royal Rangers (Boys ages 6-12)

  Thrive Student Ministry (Ages 13-18)

  Sunday School (All ages)   Home groups

  Men's Ministry  Women's Ministry  Wednesday Night Classes

  Fine Arts Ministry  Church Membership  Assemblies of God

  Teen Life Challenge - Drug & Alcohol Recovery Program