2024 MHCCC VBS Registration
Who: Students in Grades K-5th and 6th-8th
When: July 8-12, 2024
Where: Mid-Hudson Chinese Christian Church (Wappingers Falls, NY)

Want more details? Go to https://www.mhccc.org/vbsregistration

Did you already finish registering, but did not pay yet? Go to https://www.mhccc.org/vbsearlybirdpayment/

Questions? Email: mhcccvbs@gmail.com
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Email *
Child's First Name
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Child's Last Name
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Child's Date of Birth
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MM
/
DD
/
YYYY
Most Recent Grade Completed (as of July 2024)
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Street Address
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City
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Zip Code *
Parent/Guardian's First Name
 *
Parent/Guardian's Last Name
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Parent/Guardian's Relationship to Child
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Parent/Guardian's Phone Number
 *
Emergency Contact's First Name
 *
Emergency Contact's Last Name
 *
Emergency Contact's Phone Number
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Special Considerations: Health/Diet/Allergies/Home Enviroment/etc
Permission for your child to receive snacks/treats
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Any special instructions for your child?
Any additional information or comments?
Media Release Form
https://www.mhccc.org/wp-content/uploads/2022/05/MHCCC-Media-Release-Form.pdf
I have reviewed the above Media Release Form
 *
Required
MHCCC VBS Rules & Code of Conduct
I have reviewed the above MHCCC VBS Rules & Code of Conduct
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Required
Release of All Claims
In consideration for being accepted by MHCCC VBS for participation in the VBS program the undersigned being 21 years of age or older, do for myself and on behalf of my child-participant hereby release forever discharge and agree to hold harmless MHCCC VBS and the directors or agent thereof from any and all liability, claims or demands for personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever which may be incurred by the undersigned and the child-participant that occur while said child is participating in the above described activity. Furthermore, we assume all risk of personal injury, sickness, death, damage and expense as a result of participation in recreation and work activities involved therein. The undersigned further hereby agree to hold harmless and indemnify MHCCC and the VBS program, for any liability sustained by said organization as a result of the negligent, willful or intentional acts of said participant and/or his or her child participant, including expenses incurred attendant thereto. By typing my name below, I acknowledge that I have read and understood the above and that I accept the conditions contained herein. 
If you agree to the release of all claims above, type your name below.
 *
*Registration is not complete until payment is sent on the next page.
A copy of your responses will be emailed to the address you provided.
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