VBS - Mount Joy Mennonite Church

VBS 2012

Mount Joy Mennonite Church

Sunday July 15 – Thursday July 19

6:30 – 8:30 pm

For Age 4 thru Grade 5

Register for VBS in ONE of the following ways:

-Fill out form below and click to send to register from this website

-Print off a copy of form below, fill out & mail to the church or drop it off

-Stop by the church office anytime between 9 am & 4 pm Monday thru Friday

to complete a registration form

Call Teri at the church office at 653-5660 with any questions.

To Volunteer please contact Naomi Weaver at

653-5660, Ext. 225 or at .

Click HERE for printable VBS Registration Form.

Online Registration Form

Form Steps

Section 1
Check the box below and sign

Please fill in the fields below:

*Family Last Name(s)

*Parents First Name(s)

*Address 1

Address 2

*City

*State

*Zip Code

*Home Phone

Cell Phone

Attend church?

Yes
No

If yes, church name

*Emergency Contact Name

*Emergency Contact Phone

Other than parents, persons who may pick up my child(ren):

Name of Child 1

Grade completed

Birthdate

May 6, 2010

Allergies/Medical or Other Concerns

Name of Child 2

Grade completed

Birthdate

May 6, 2010

Allergies/Medical or Other Concerns

Name of Child 3

Grade completed

Birthdate

May 6, 2010

Allergies/Medical or Other Concerns

Go to Next Section

I agree to allow my child(ren) to participate in the 2010 children’s VBS program at Mount Joy Mennonite Church and to be photographed for the closing program slide show. I will not hold the church or the staff responsible for accidents or injuries.

	Agreement	I agree
	Signed
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