Mount Olive Lutheran Church VBS Registration 2017
Please send questions about registration to kristiekas@gmail.com
Parent Information
Your answer
Parent Last Name
Your answer
Street Address
Your answer
City
Your answer
State
Your answer
Zip
Your answer
Phone
Your answer
Email
Your answer
Emergency and Pickup Information
Emergency Contact Name
Your answer
Emergency Contact Phone Number
Your answer
Names of adults other than parents authorized to pick up children
Your answer
Child Information
You can use this form to register up to 3 siblings at one time. If you need to register more than 3 children, please put additional children's information in the "Comments" box at the end of the form.
1st Child's First Name
Your answer
1st Child's Last Name
Your answer
1st Child's Date of Birth
MM
/
DD
/
YYYY
1st Child's Last Completed School Grade
Your answer
1st Child's Allergies or medical conditions
Your answer
2nd Child's First Name
Your answer
2nd Child's Last Name
Your answer
2nd Child's Date of Birth
MM
/
DD
/
YYYY
2nd Child's Last Completed School Grade
Your answer
2nd Child's Allergies or medical conditions
Your answer
3rd Child's First Name
Your answer
3rd Child's Last Name
Your answer
3rd Child's Date of Birth
MM
/
DD
/
YYYY
3rd Child's Last Completed School Grade
Your answer
3rd Child's Allergies or medical conditions
Your answer
Have any of your children attended VBS at Mt. Olive Lutheran Church before?
What is your home church?
Your answer
May we use photos of your child(ren) in Mt. Olive publications?
It takes a large crew of volunteers to make this week-long VBS a wonderful experience for our children. Please let us know if we may contact you about volunteering, or schedule your availability/task online: www.SignUpGenius.com/go/5080E4BA5AC2FA64-molc
Comments?
Use this space to provide any additional information you would like VBS staff to know. You may also use this space to register additional children. If your child would like to be in the same class as another child, please note that here. We will do our best to accommodate your request.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms