Register below for Ocean Commotion: Diving into Noah’s Flood Preschool VBS (ages 3-5).

Registration is limited this year to the first 50 registrations, so please complete as soon as possible.

Optional Ocean Commotion VBS t-shirts are available for order at $8 each (payment required at time of order). Click here to order t-shirts by July 20.

If you are human, leave this field blank.

Today's Date *

Parent(s) Name *

Email Address *

Street Address *

City, State, Zip *

Phone *

Emergency Contact Person During VBS *

Emergency Contact Phone Number *

Are you a member of Mount Pleasant Baptist Church? *

Yes

No

Number of Children Attending * 1 2 3 4

Total number of children participating in Ocean Commotion (Preschool) VBS

My child(ren) will be attending all three days (choose one) *

Yes

No

Other Special Considerations (custody/court orders, people allowed/not allowed to pick-up child/ children, etc.)

Child #1

Name (first and last)

Birthdate *

Age * 3 4 5

Allergies, Medical Conditions or Special Information

Child #2

Name (first and last)

Birthdate *

Age * 3 4 5

Allergies, Medical Conditions or Special Information

Child #3

Name (first and last)

Birthdate *

Age * 3 4 5

Allergies, Medical Conditions or Special Information

Child #4

Name (first and last)

Birthdate *

Age * 3 4 5

Allergies, Medical Conditions or Special Information