2021 VBS Registration

July 12-16, 2021 - 9am - 1pm daily. Doors open at 8:30am. | Please fill out this form and click submit.

We are so glad you are joining us for VBS this year at MVPC!

Cost is:
$10/person, $20 max per family for the week.

Please fill in all applicable information below.

I am registering

Please select one option.

My child/children My grandchild/grandchildren Other, explain below

My name and relationship to the above

Child#1 Name

Child#1 Age

Child#1 Grade (in Fall 2021)

Please select one option.

Potty-trained Preschool Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

Child #1 Tee Shirt Size

Please select one option.

Youth XS Youth SM Youth MED Youth LG

Child#2 Name

Child#2 Age

Child#2 Grade (in Fall 2021)

Please select one option.

Potty-trained Preschool Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

Child #2 Tee Shirt Size

Please select one option.

Youth XS Youth SM Youth MED Youth LG

Child#3 Name

Child#3 Age

Child#3 Grade (in Fall 2021)

Please select one option.

Potty-trained Preschool Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

Child #3 Tee Shirt Size

Please select one option.

Youth XS Youth SM Youth MED Youth LG

Parent Name

Address

This address will receive a confirmation email

Parent Home Phone

Parent Cell Phone

Church

Friends attending VBS

Allergies

Emergency Contact

Emergency Contact Phone

2nd Emergency Contact Phone

Additional info

Please indicate your intended method of payment below and click on submit to complete your registration. You will then be taken to a confirmation page to receive payment instructions. You will also receive a confirmation email.

Cost for VBS:
$10/person, $20 max per family for the week.

Payment Method

Please select all that apply.

Check Venmo Credit/Debit card payment

Description

July 12-16, 2021 - 9am - 1pm daily. Doors open at 8:30am.

Please fill out this form and click submit.

2021 VBS Registration

Description

Please Fix the Following