VBS Registration

Parent / Guardian Form

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

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.”

Repeater Container

Child's Name

Child's Age

Child's Grade Completed

Additional information we should know about this child?

Does this child have any allergies?

Allergy Details / Parent Instructions

Does this child take any medications?

Medication Details / Parent Instructions

Parent / Guardian Form

Alternate Emergency Contact

Pickup People

Child Information Form

For all people

Mount Olivet's Newsletter

STIRRED UP

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VBS Volunteers Needed

@ Beth Tefillah

June 15-19

Parent / Guardian Form

Alternate Emergency Contact

Pickup People

Child Information Form

NEWSLETTER

Together, We Can Help

“Carry each other’s burdens, and in this way you will fulfill the law of Christ.”

Check back later for more opportunities in our community

VBS Volunteers Needed

@ Beth Tefillah

June 15-19

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Thank you for reaching out to us— we’re grateful for the opportunity to connect with you.

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NEWSLETTER