VBS Registration

Registration is required & completely FREE

VBS Registration

Parent / Guardian Form

Information must be filled out by authorized adult responsible for the child.

Parent/Guardian Name

Primary Contact Phone

Parent/Guardian Address (Optional)

Address

City

Zip Code

While your child attends VBS, do you plan to stay at the church or leave and return for pickup?

I plan to stay at the church

I plan to leave and return for pickup

I'm not sure yet

Alternate Emergency Contact

In case of an emergency, we will first contact the parent listed above.

Alternate Emergency Contact Name

Relationship to Child

Alternate Emergency Contact Phone

Pickup People

Your child will only be released to people listed on the Authorized List of Pickup People

Authorized Pickup People
Please list anyone who is allowed to pick up your child, including parent/guardian names.

Child Information Form

Registering more than one child? Complete the first child’s information, then click “Add Another Child.”

Child's Name

Child's Gender

Child's Age

Child's Grade Completed

Does this child have any allergies?

Allergy Details / Parent Instructions

Does this child take any medications?

Medication Details / Parent Instructions

Health, Behavioral, or Other Notes

Permission & Liability Release

Please review and agree to the statements below before submitting this VBS registration.

VBS Permission & Liability Release

I give permission for the child/children listed in this registration form to participate in Vacation Bible School at Mount Olivet Baptist Church.

I understand that Vacation Bible School will be held June 1–5 from 6:00–8:00 PM at Mount Olivet Baptist Church.

I understand that adult supervision will be provided by Mount Olivet Baptist Church during VBS activities.

I understand that the allergy, medication, health, behavioral, pickup, and emergency contact information I have provided is accurate to the best of my knowledge.

I give permission for the child/children listed on this form to participate in Vacation Bible School at Mount Olivet Baptist Church.

I understand that adult supervision will be provided by Mount Olivet Baptist Church during VBS activities.

I understand that the allergy, medication, health, behavioral, pickup, and emergency contact information I have provided is accurate to the best of my knowledge.

I release Mount Olivet Baptist Church, its members, volunteers, staff, and church facilities from liability during my child/children’s participation in Vacation Bible School, except where prohibited by law.

Parent/Guardian Electronic Signature

By typing your name, you are signing this permission and release electronically.

Type your full legal name

Date signed