Mountain View Flagstaff Church - 2024 VBS Registration

Parent Name (Guardian)

Phone Number (Cell)

Email

Address

City

State

Postal Zip Code

#1 Authorized Emergency Contact or Pickup

#1 Emergency Contact Phone Number

#2 Authorized Emergency Contact or Pickup

#2 Emergency Contact Phone Number

Do you attend church?

Yes

No

If yes, Where?

#1 Child Name

#1 Child Birthdate MMDDYY

#1 Child Age

#1 Child Male Female

Male

Female

#1 Child Grade (2024-2025 School Year)

#1 Child - Would you give MV approval to take pictures to post on our Website, Facebook & in our Database?

Yes

No

#1 Child Food Allergies Medial Information (special needs is kept private)

#1 Special Request (if available)

#2 Child Name

#2 Child Birthdate MMDDYY

#2 Child Age

#2 Child Male Female

Male

Female

#2 Child Grade (2024-2025 School Year)

#2 Child - Would you give MV approval to take pictures to post on our Website, Facebook & in our Database?

Yes

No

#2 Child Food Allergies Medial Information (special needs is kept private)

#2 Special Request (if available)

#3 Child Name

#3 Child Birthdate MMDDYY

#3 Child Age

#3 Child Male Female

Male

Female

#3 Child Grade (2024-2025 School Year)

#3 Child - Would you give MV approval to take pictures to post on our Website, Facebook & in our Database?

Yes

No

#3 Child Food Allergies Medial Information (special needs is kept private)

#3 Special Request (if available)

#4 Child Name

#4 Child Birthdate MMDDYY

#4 Child Age

#4 Child Male Female

Male

Female

#4 Child Grade (2024-2025 School Year)

#4 Child - Would you give MV approval to take pictures to post on our Website, Facebook & in our Database?

Yes

No

#4 Child Food Allergies Medial Information (special needs is kept private)

#4 Special Request (if available)

REGISTER TODAY

VBS Registration

Visit

Service Times

Contact Info

Follow Us