Registration deadline: July 21, 2019!

Welcome to Vacation Bible School Registration page

(for students finishing preschool through 5th grade)

Cost is $2/child/day or no more than $25/family/week.

Samples

  • 1 child x 3 days = $6
  • 1 child x 5 days = $10
  • 2 children x 5 days = $20
  • 3 children x 4 days = $25
  • 4 children x 5 days = $25

Upon completion of this form, you will be redirected to PayPal. If you do not wish to use PayPal (you don’t need an account, just click on “Pay with Debit or Credit Card“), then simply close the window. Drop your payment into the offering plate and indicate VBS Registration on the memo line or mail it into:

Community UMC
Attn: Dawn Roth
20 Center
Naperville, IL 60540

Fields marked with * are required

Your Name* (first and last)
Your Email*

Child's Information

 
Child's Name* (first and last)
Grade Completed*
Birthday* (mm-dd-yyyy)

Age*

Contact Information

 
Parent's Name* (first and last)
Parent's Name (first and last)
Home Address
City, State
Home Phone*
Alternate Phone

Health Information

 
Food Allergies*
YesNo
If yes, please list
 
Medical Concerns*
YesNo
If yes, please explain:

Siblings Attending Vacation Bible School

Name
Age & Grade Finished
 
Name
Age & Grade Finished

 
Name
Age & Grade Finished

 
Name
Age & Grade Finished

 

Church Information

 
Church Affiliation
Church Membership

T-Shirts

 
Child One*
Child Two

Child Three

Child Four

Pick Up

 
[please indicate below who may pick up your child]
1. Name*
Phone*
 
2. Name
Phone

Authorization

 
Do you authorize Community UMC to photograph/film your child with activities associated with this Vacation Bible School program?*
YesNo  

Payment *

I will use PayPal on the next step to make my paymentI will drop a check off in the offering plate or to the officeI will mail a check into the office

If you do not wish to use PayPal to make your payment, simply close the PayPal window when it appears.

Parent Signature

 
[your electronic signature is your consent for your child to participate in Vacation Bible School and that all the above information is accurate.]*