Mountain View Bible Church
Home
I'm New
Ministries & Events
Our Church
Find Us & Contact Us
Passion Week
Complete the form below to register your child for VBS. Form is not complete until the "Submit" button is clicked. We request one form per child.
I live in Palmdale, and would like my child to be picked up.
*
Yes
*
Indicates required field
Childs Name
*
First
Last
Birthday
*
Address
*
Parent Name
*
First
Last
Phone Number
*
Email
*
Parent Name
*
First
Last
Phone Number
*
Email
*
In addition to the parents, the following people are authorized to pick my child up. (please note, unless a name is on this form, we will not release your child to an individual
*
Grade this fall
*
K4/K5
1st
2nd
3rd
4th
5th
6th
Allergies
*
None
Gluten
Dairy
Nuts
Other
Is there any other info you wish to communicate to our VBS staff?
*
I understand that all workers at the Mountain View Bible Church have been background checked pursuant to PA law. In addition, I authorize my child to participate in all games and activities of Mountain View Bible Church. I will not hold Mountain View liable to any injury my child may sustain in the course of activities and events. I understand that several staff members are trained in first aid and CPR and authorize treatment if needed.
*
Yes
Submit