VBS | MCC Rochester

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*A short dinner will be available for kids attending the program and their families each day of VBS.

2024 Vacation Bible School Pre-Registration Form

August 5th-8th, 2024 Grades 1-5

Student Last Name

Student First Name

Grade

Male

Female

Allergies / Medical Conditions (Type None if None)

None

Guardian Last Name

Phone

Guardian First Name

Preferred Email Address

Mother

Father

Other

Guardian Last Name

Phone

Guardian First Name

Preferred Email Address

Mother

Father

Other

Authorized To Pick-Up

Authorized Pick-Up Last Name

Authorized Pick-Up First Name

Authorized Pick-Up Phone

Auth Pick-Up #2 Last Name

Auth Pick-Up #2 First Name

Auth Pick-Up #2 Phone

About Your Child

Home Church

Friends Attending VBS

Favorite Activities

Meadowbrook Christian Church is a non-denominational Christian Church committed to reaching families in Rochester Hills and surrounding communities. The invitation to join us for services and events is always open.

MEADOWBROOK CHRISTIAN CHURCH EXISTS TO HONOR JESUS CHRIST BY

Making Disciples - Promoting Genuine Worship - Building Community - Supporting His work wherever He leads

2741 Walton Blvd, Rochester Hills MI 48309 www.mccrochesterhills.com

Click on the icon above to view the Parent Consent / Agreement

I agree with the Parent Agreement / Consent form

I agree to the Photo Release

Parent/Guardian Signature

Thanks for registering.

Mobile Users will need to use the fillable form here and email it to anthony@mccrochesterhills.com

Meadowbrook
Christian
Church

Office (Message Line) 248-659-8481

info@mccrochesterhills.com

2741 Walton Blvd

Rochester Hills, MI 48309

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