2025 MVBC VBS Registration
Please fill out this form and click submit. A separate form is needed for each child.
Parent/Guardian Information
First Name
*
Last Name
*
Email
*
This address will receive a confirmation email
Emergency Phone Number
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Child's Information
Name
*
Birth Date
*
Grade Completed (June 2025)
*
Please select one option.
Preschool
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
In Daycare
Select Option
Preschool
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
In Daycare
T-Shirt Size
*
Please select one option.
Child XS
Child S
Child M
Child L
Child XL
Adult S
Adult M
Adult L
Adult XL
2T
3T
4T
Select Option
Child XS
Child S
Child M
Child L
Child XL
Adult S
Adult M
Adult L
Adult XL
2T
3T
4T
Does your child have any allergies, medical conditions, or special needs you would like to make the VBS staff aware of?
*
Do you agree to let MVBC use pictures of your child in printed materials, church social media and/or on church website?
*
Please select one option.
Yes
No, I prefer not to.
Please list the names of individuals allowed to pick up your child.
*
Submit
Description
Please fill out this form and click submit. A separate form is needed for each child.
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