Mountain View Church VBS June 23rd- 27th. 6-8:15 pm

Child's Name

Parent/Guardian Name

This address will receive a confirmation email

Home Phone

Work Phone

Cell Phone

Address

Mailing Address (if different)

Age Information

Birth date

Last grade completed in school

Medical Information

Medical or other information we need to know. (Please include any food allergies)

Emergency Contacts (other than listed above)

Names and Phone numbers

Dismissal Information

Who may pick up your child at the end of each VBS day?

Other information

Does your child attend Sunday school? If so, where?

May we have permission to use your child's photograph for the purpose of promotion?

Yes No

Description

June 25th - 29th 6pm-8:30pm

Please complete this form to register your child for Mountain View Church Vacation Bible School. Any questions, please contact Pastor Joshua Williams at joshua@mvcnc.com.

Mountain View Church VBS June 23rd- 27th. 6-8:15 pm

Description

Please Fix the Following