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Participant Registration

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Mt. Vernon Baptist Church

Location

3505 Bamboo Road

Boone, NC 28607

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Contact Flo Hollingsworth:

828-266-9700

flo@mtvernonchurch.org

First, Tell Us About Yourself:

Parent Information

Welcome to Mt. Vernon Baptist Church's VBS 2026!

We are so excited to have your child join us on this Tree-Mendous Adventure as we explore the Nature of God and discover how much He Loves Us!!

WOW GOD!

RAINFOREST FALLS VBS is open to kids ages 4, (by August 31, 2026), thru rising 6th graders.

PLEASE NOTE the first part of the registration form is for Parent/Guardian information, registration for VBS participants will begin after the Emergency Contact Information section.

First Name

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Last Name

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Relation to Child

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Address 1

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Address 2

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City

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State/Province

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ZIP/Postal Code

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Contact Phone 1

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Text Message Phone

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Is Parent/Guardian Working At VBS

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Alternate Pickup Name

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Alternate Pickup Phone

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Alternate Pickup 2 Name

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Alternate Pickup 2 Phone

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Emergency Contact (Other Than Parent/Guradian)

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Emergency Contact Relationship

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Emergency Contact Phone

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Church currently attending

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Click here for your FREE Friends With God Kids Activity Pack

By checking the box you will be emailed your Free Friends With God Kids Activity Pack.

You are also agreeing to receive emails about family resources from Lifetree. You can unsubscribe at any time. We value your privacy. Your information will not be shared with a third party. Lifetree is a division of Group Publishing, the creators of Group VBS and other faith-building resources. Click to learn more about Lifetree.

Tell Us About Your Participant

By submitting this form:

I give my child(ren) permission to attend VBS at Mount Vernon Baptist Church.
I give Mount Vernon Baptist Church permission to take my child(ren) to Watauga Medical Center for any treatment necessary.

Has your child accepted Jesus Christ as Savior and Lord

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First Name

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Last Name

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Grade Leaving

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Gender

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Date Of Birth

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Shirt Size

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Comments

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Allergies / Medical Information

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Prayer Requsts / Concerns

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Is there anything unique about your child our VBS Staff needs to know

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Dismissal Instructions (List ALL Names Who Your Child Can Be Released To)

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I Give Permission For My Child(ren) To Be Photographed For VBS Promotional & Craft Projects

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