VBS Extended Care Form 2020. Mon- Thurs
Complete this form and pre pay $45 Fee via the PayPal link.

Extended Care:  June 15- June 18, 2020.  Mon- Thurs. Cost= $45.  Starts  at 1:00pm  and Ends 3:30pm.

Level I:  Grades Rising K- 4th Grade.  (Lower School Campus/ White Building. 9820 Nesbit Ferry Rd.)   Pick up at South Hall at 3:30pm.

Level II: Grades Rising 5th Grade - 6th. (Middle School Campus/ Red Brick Building. 9875 Nesbit Ferry Rd.) Pick up at MS Front Lobby at 3:30pm.

MP UMC VBS and MPCS will transport your child to MPCS Campus via the  'Big Bus'.  Your child will then be in the care of MPCS Teachers and Counselors.

Learn more about Mount Pisgah Christian School Summer Camps at:  
www.mountpisgahschool.org/campus-life/summer-camps-2020.cfm
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Email *
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Last, First: Child Name *
Child's Grade (As of 2020-2021 school year) *
Last, First: Parent Name *
Parent's Cell Number for Calls & Text: *
Last, First: Emergency Contact Name + Relationship to child. *
Emergency Contact Cell Number: *
Can  your child have camp snacks? Snacks provided (all are GF):  Lucky Charms Cereal, Movie Popcorn,  'Fun Pops' Fruit Flavored Freezer Pops, Jet- Puff Marshmallows, Hershey chocolate bar. *
I understand that no medication will be given during Extended Care hours by MPCS. *
Do you want to purchase the lunch plan for 4 days?          Cost = $32. (Lunch can not be prorated). There are no additions or substitutions. *
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I understand if my child is not currently enrolled in Mount Pisgah Christian School as a student, I need to send proof of medical insurance to MPAA@mountpisgahschool.org.  This should be a copy of your insurance card front and back that will be put on file in case of emergency. *
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In case of a medical emergency, MPCS Summer Camp will call you first and your emergency phone number.  However, emergency medical care may need to be given and we are unable to reach you.  Thus, we need you to give consent to emergency medical care.  **Emergency Medical Care**:  I give permission for my child to go with 911 emergency first-responders in case of serious accident or  health emergency of my child and I am aware that I accountable for payment to hospital/ emergency services rendered.
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Does your child have allergies or is their anything else we need to know about your child? *
PERMISSION TO TRANSPORT : I, the undersigned parent and/or guardian of a minor, hereby give my permission for my child to be transported to and from Mount Pisgah UMC and MPCS via bus with MP UMC VBS and MPCS.  I do hereby release Mount Pisgah Christian School and Mount Pisgah UMC from any liability and all adult sponsors or camp/ teaching staff in the event of any accident in route, during and returning from MPCS  sponsored events.   *Please add your electronic signature so we can pick up your child after VBS at MP UMC VBS on the big bus and drive them to MPCS which is across the street. *
Your $45 non-refundable payment covers extended care.    Please pay now via Paypal on the MP Summer Camps website.  Thank you!
www.mountpisgahschool.org/campus-life/summer-camps-2020.cfm
Thank you and we'll see you this summer at MPCS for Extended VBS Care!
For additional questions, please email the MPCS Camp Office at:  MPAA@mountpisgahschool.org

A copy of your responses will be emailed to the address you provided.
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