Sunday, June 4 - Thursday, June 8 - 6:00 - 8:30PM
Mountain Gap Church
2746 Pine Valley Road (Corner of Vega and Pine Valley Roads)
Email address
VBS Registration Form
Please complete this form for EACH INDIVIDUAL PARTICIPANT.

Also, please be sure to complete accurately the food allergy & medical concerns portion.

If further information is needed, we will contact you.

Operation Arctic is a free Vacation Bible School event sponsored annually by Mountain Gap Church. An offering will be received each night to go toward a missions project (this is a fun time for the kids when the various teams "compete" to see who can raise the most money; we use this as an opportunity to teach children that generosity is a commendable character trait).

Participant's Name
Your answer
Participant's Gender
Participant's Grade
Grade just completed. Please note: nursery not available.
Drop Off & Supper
Food Allergies
If none, simply indicate "none"
Your answer
Medical Concerns
If none, simply indicate "none"
Your answer
Parent(s) Name:
Your answer
City, State, Zip
Your answer
Best number where you may be reached:
Your answer
Alternate number where you may be reached:
Your answer
Emergency Contact
Name & number of someone other than parent(s)
Your answer
Name of Home Church
Your answer
Pick Up Permissions:
ONLY the following people may pick up my child; for the safety of our children, Mountain Gap Church will NOT release children to anyone other than the following:
Your answer
Photo Release: Do you give permission for MGC to take and use pictures of your child for VBS promotional purposes online on our website or facebook page?
Please complete the captcha before submitting the form.
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