New Student/Child Registration

Parent Guardian Information

All information is kept confidential.

Parent/Guardian First Name

Parent/Guardian Last Name

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Cell Number

Cell/Work Number

Do you receive text messages?

Yes

No

Who is your carrier?

Email

Sunday & Wednesday Registration for all ages.

Child First/Last Name

Birthdate

Age

Grade

Gender

Would you give MVFC approval to take a picture for our registration database?

Yes

No

6th-12th Grades - Would you give approval to take pictures for our MV Youth Facebook Page?

Yes

No

Food Allergies/Medical Information