Mt. Gilead Baptist VBS Registration
Registration for Kindegarten through Fifth Grade. (Please note our pre-Kindergarten classes are Full)
June 8th thru June 11th
6:00 PM to 8:30 PM. There is No Cost and Supper will be provided each evening.
Your Name (the Person Completing the Registration)
First Name
Last Name
Best Cell Phone Number to Reach You
*
Please enter a valid phone number.
Format: (000) 000-0000.
Best Email Address to Reach You
example@example.com
Your Relationship to the Child or Children That You Are Registering
*
Parent
Grandparent
Other Relative
Friend
Who is Authorized to Pick-Up Your Child?
*
Your Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What Church Do You Currently Attend?
*
How Did You Hear About VBS?
*
Mt. Gilead Website
Facebook
Friend, Relative, Neighbor
Banner/Sign in front of Church
I Attended Prior Years
Information for the Person(s) Being Registered
Click on the "Add Additional Child" Button Below to Add More Names, if Needed
*
Do We Have Permission to Photograph Your Child or Children During VBS Activities?
*
Yes
No
If You Answered "Yes" Above, Can We Use Those Photographs for Future Promotional Material?
*
Yes
No
Submit
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