Centenary UMC
Tuesday, May 21, 2019
Life Happens Here!

2018 VBS Registration Form

To register your child please fill out the form below and then click Submit. If you prefer, you may download a printable copy of the registration form and return the completed form to the church office. Online registration is open until June 16, 2018. Registration will be available at the door.

VBS 2018

Monday, June 18 – Thursday, June 21

9:00 – 12:00

Child's Name:
Grade Completed Kindergarten  1st  2nd  3rd  4th  5th  6th
Person Responsible for pickup after VBS: 
                    Relationship to child: 
Contact Phone Number: 
Contact Email: 
Emergency Contact: 
Emergency Phone Number: 
Allergies:  Yes  No
               If yes, what allergies?