VBS Registration Form- Mandarin Lutheran Church

DATE : June 24th – June 28th

TIME : 5:00 pm – 8:00pm

$25 for Registration

$20 for an additional child
VBS Registration Form

Please fill the form below and let us know if you give go ahead for this child's participation

Authorized Pickup
Authorized Pickup Name

First NameLast Name
Authorized Pickup Name

First NameLast Name
Do you currently have a home church?

YesNo
If Yes, where?
Tell us how you learned about VBS at MLC :*

Internet ListingFacebookFlyer / PosterMandarin Messenger newsletterInvited by a friendOther

Liability Information
I understand that I will be notified in the case of a medical emergency involving my child. In the event that neither I nor the above listed emergency contact can be reached, I authorize MLC to arrange for a doctor and the providing of necessary medical services as deemed necessary to protect the welfare of my child.
Signature*

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I consent to allow photos to be taken during VBS to be used in/on craft projects and church bulletin boards, including but not limited to church website/ Facebook page.
Signature

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By signing and submitting this registraiton form, you understand and agree to all policies.
Parent/Guardian Signature*

First NameLast Name
Today's Date*

MonthDayYear
Comments and/or Questions:
Should be Empty: