VBS 2017 Registration Form
Calling All Superheroes!! Vacation Bible School is on the way! We hope you will join us on an epic adventure at Hero Central as we discover the qualities that make us heroic in God! To register, all you have to do is complete this online form. Once you have taken care of the details, all that is left to do is count down to VBS! Come have a blast with us this summer! Please be sure to download the 'VBS Information Sheet' for important VBS dates & information!

Have questions? Contact Jan Alexander at fixthesick@yahoo.com or 540-421-5119.

CHILD'S INFORMATION
Child's First Name
Your answer
Child's Last Name
Your answer
Gender
Required
Date of Birth
Your answer
Age (as of June 12th)
Your answer
Grade Completed (as of June)
Required
Parent/Guardian(s) Name(s)
Your answer
Phone #1
Your answer
Phone #2
Your answer
Street Address
Your answer
City/Town
Your answer
ZipCode
Your answer
Parent/Guardian Email
Your answer
T-Shirt Size (sizes and availability based on order of registration)
Required
EMERGENCY AND MEDICAL INFORMATION
Emergency Contact
Your answer
Phone #
Your answer
Allergies/Medical Needs
Your answer
PARENT/GUARDIAN CONSENTS
In Case of Emergency/Medical Consent: In case of an emergency (and I cannot be reached), I give permission for my child to receive medical treatment if warranted. By checking "agree", I am saying I will not hold anyone liable for any injuries or disabilities that may occur on/off Mt. Olive's campus during VBS week.
Required
Photo Release: I give Mt. Olive permission to use my child's photo in video, DVD or promotional ads.
Required
Travel Release (7th and 8th grade only!): I give permission for my child to attend off site mission trips during the week of VBS.
Required
FINAL DETAILS
Number Attending VBS Closing Celebration & Meal on Friday, June 16 at 6:00 PM
Your answer
Date Submitted
Your answer
Submit
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