VACATION BIBLE SCHOOL 2024

Please fill out this form and click submit.
2024 Vacation Bible School
June 17-21, 2024
9:00AM-12:00PM
Cost: $35 per child; $60 max per family
Deadline: June 10, 2024 (Late registration cost: Add $5 per child)
(Children must be 4 years old thru 7th grade by the start of next school year. )
REGISTRATION FORM

Please select one option.
Child's Information

 
 
 
Please select one option.
Please select one option.
 
 
 
Please select one option.
Child #2's Information

 
 
 
Please select one option.
Please select one option.
 
Please select one option.
Child #3's Information

 
 
 
Please select one option.
Please select one option.
 
Please select one option.
Child #4's Information

 
 
 
Please select one option.
Please select one option.
 
Please select one option.
Child #5's Information

 
 
 
Please select one option.
Please select one option.
 
Please select one option.
Parent/Guardian/Other Emergency Contact Information

 
 
 
 
Please select one option.
 
 
 
 
Please select one option.
 
 
 
 
Please select one option.
BBQ SATURDAY - 6/22/24 - 11:30AM-2:00PM

Please select all that apply.
Photography/filming consent

Please select all that apply.
MEDICAL INFORMATION

 
 
 
 
 
 
 
 
 
 
 
MEDICAL RELEASE INFORMATION

Should it be necessary for my child to have medical treatment while participating in VBS 2024 on church premises, I hereby give the person in charge permission to act on my behalf to secure hospitalization or medical services deemed necessary and appropriate by the physician.  I absolve said Church and its personnel from any and all forms of negligence and wrong treatment incurred in the procurement and process of hospitalization and medical treatment.  I understand that Mandarin Baptist Church of San Fernando Valley has no accident insurance.  Any cost incurred shall be my sole responsibility.

 
Please select one option.
 
PAYMENT INFORMATION

Cost: $35 per child, $60 Maximum per Family
 
 
 
 
 
 

Description

Please fill out this form and click submit.