2024 Milal VBS Application Form

2025 Milal VBS Application Form

Jul. 07 (Mon.) ~ Jul. 11 (Fri) @ 10:00am ~ 2:15pm
Student Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Gender
Name of parent or guardian 1

First NameLast Name
Mobile Number
Format: (000) 000-0000.
E-mail
example@example.com
Name of parent or guardian 2

First NameLast Name
Mobile Number
Format: (000) 000-0000.
E-mail
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
T-Shirt Size
Any allergy? any request?
Emergency contact
Format: (000) 000-0000.
Parent Consent: As the parent or legal guardian of my child, I hereby give consent for my child to attend and participate in all activities provided by Milal Mission during the Vacation Bible School (VBS) program. I also authorize any medical treatment deemed necessary in an emergency by a licensed nurse or physician. Furthermore, I release, indemnify, and hold harmless Milal Mission, its employees, and staff from any liability for personal injury or property damage that may occur. Check one of the following:

YesNo
YesNo
Registration Fee : $30 ( zelle : txmilal@gmail.com )
Any questions?

TEL. 267-467-5971 , Email: txmilal@gmail.com
Should be Empty:

2025 Milal VBS Application Form