VBS 2018 Registration - One form per family
Questions marked by * are required.
1. Number of children attending VBS 2018:
  • 1
  • 2
  • 3
  • 4
  • 5+ (use more than one form)
2. Child Name: *
3. Age of 1st Child *
4. 2nd Child Name:
5. Age of 2nd Child
6. 3rd Child Name:
7. Age of 3rd Child
8. 4th Child Name:
9. Age of 4th Child
10. 5th Child Name:
11. Age of 5th Child
12. Parent/Guardian Last Name(s): *
13. Parent/Guardian First Name(s): *
14. Parent/Guardian Street Address *
15. Parent/Guardian City *
16. Parent/Guardian State *
17. Parent/Guardian Zip Code *
18. Parent/Guardian Phone (during VBS): *
19. Parent/Guardian Email: *
20. Alternate Contact NAME and PHONE (during VBS): *
21. Food Allergies/Medical Concerns? *
22. Are you a Member of Mountain View Lutheran Church?
  • Yes
  • No
23. Name of Church, if members elsewhere:
24. Type Parent/Guardian Name below if VBS leaders have permission to photograph the minor(s) designated above for any lawful purpose associated with the VBS program. *
25. How did you hear about VBS at Mountain View Lutheran? *