Mount Vernon VBS 2020 Online - Concrete & Cranes

Participant Registration

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Printable Form

If you or your child would like to participate in this event as a Participant, please complete the following form.

(If you are under 18, please have your parent or guardian complete the form.)

Personal Information

*Participant's First Name:
*Participant's Last Name:
*Parent/Guardian Name:
*Address:
*City:
*State:
*Zip:
*Primary Phone: (555-555-5555)
Cell Phone: (555-555-5555)
Additional Cell Phone:
May we text you reminders and updates	Yes
*Email:
Additional Email:
*Birthday: (MM/DD/YYYY)
*Age/Last Grade Completed as of August 3rd 2020:
*Gender:
Are you a member of this church?	Yes
Do you attend Church?	Yes
If so, where?
May we have permission to use your child's photograph in church publications?	Yes
Comments:
Would you like to pick up VBS at-home packet: (VBS at-home packet will contain craft supplies, lesson materials, and more for each of your registered campers (to be picked up on August 1))	Yes