VBS Registration
We are excited for you to register your child for our VBS, Cross Point Canyon, which will be nightly June 3-7, beginning at 6 pm
Email address *
Students Information
Student's First Name *
Your answer
Student's Last Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
What grade was completed at the end of the 2017-18 school year? *
Check the answer that best applies: *
If you regularly attend church somewhere other than Mount Olivet, where do you attend?
Your answer
We will be serving a light meal nightly, please list any food allergies of the student , and the reactions, as well as any other important medical information that might be helpful for us to be aware of while your child is at VBS. *
Your answer
Student's Contact Information
Father's Name (first and last) *
Your answer
Mother's Name (first and last) *
Your answer
Phone Number *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Emergency Contact's Name (other than parent) *
Your answer
Relationship to Student *
Your answer
Emergency Contact's Phone Number *
Your answer
Photo Release
I give consent to having pictures or video images, digital or real, of above student for use in promotion of the ministries of the Mount Olivet Christian Church. *
Submit
Never submit passwords through Google Forms.
This form was created inside of Mount Olivet Christian Church. Report Abuse - Terms of Service - Additional Terms