2019 Vacation Bible School Registration

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.]*