VBS Registration

Thank you for your interest in the MVSDA Church VBS program on July 22 - July 26 this summer from 6:30-8:30 PM. Please complete the following registration form to help us plan for this event. If you have questions, please contact us by email at mvsdaevents@gmail.com

Child #1

Child's Name

Child's Age

Child's Allergies Or Other Medical Conditions

Child #2

Child's Name

Child's Age

Child's Allergies Or Other Medical Conditions

Child #3

Child's Name

Child's Age

Child's Allergies Or Other Medical Conditions

Child #4

If you are registering additional children, please complete an additional form.

Child's name

Child's Age

Child's Allergies Or Other Medical Conditions

Which days wil your child(ren) attend VBS? Monday Tuesday Wednesday Thursday Friday Saturday (Closing program at 11:00 AM)

Parent's Contact Information

Parent's Name

Parent's Address

Parent's Email

Parent's Phone

In Case Of Emergency, Contact:

Name

Phone

Relationship to Child

We look forward to seeing you in July!

Child #1

Child #2

Child #3

Child #4

Parent's Contact Information

In Case Of Emergency, Contact:

Giddyup Junction!