Preschool VBS Registration Register below for Preschool VBS A three-day VBS geared specifically for children aged 3-5 (POTTY TRAINED) July 25-27, 9 am – noon 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 Preschool (July 25-27) VBS My child(ren) will be attending all three days (choose one) * Yes No Photo Permission * Yes No Do you give permission for your child to be photographed or videoed during VBS activities and those photos or videos to be used on our social media or promo outlets at Mount Pleasant Baptist Church? 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 If you are human, leave this field blank.
