MOUNT CALVARY BAPTIST CHURCH Vacation Bible School 2019 Registration Form “On Safari: Managing What Belongs To God”
Praise Dance Camp: (2nd Grade – High School) Dates: June 3-7 Time: 5:30 pm - 8:15 pm
Vacation Bible School: (Pre-K – Adult) Dates: June 10-14 Time: 5:30 pm - 8:15 pm

MOUNT CALVARY BAPTIST CHURCH 1111 36TH STREET W EST PALM BEACH, FL 33407 561-848-8812
Email address *
Type of registration *
First Name *
Your answer
Last Name *
Your answer
Home Address *
Your answer
Home Telephone Number *
Your answer
Cell Number *
Your answer
I am attending...(check all that apply) *
Required
List food allergies (write none if you do not have any food allergies) *
Your answer
Explain all medical concerns (write none if you do not have any medical concerns) *
Your answer
Adult T-Shirt size
Youth T-Shirt size
I would like to be a volunteer for Vacation Bible School? *
Grade level next school year *
Required
I give permission for my minor child (under the age of 18) to participate in Mount Calvary’s VBS and grants VBS leaders the authority to consent to any medical treatment necessary as determined by a medical professional. I also, hereby grant the VBS Leaders permission to photograph/film the minor(s) designated above in any manner or form for any lawful purpose associated with the VBS program. *
A copy of your responses will be emailed to the address you provided.
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