VBS Registration

Christiana United Methodist Church Vacation Bible School Registration Form
LEVEL UP! - GIVING GOD THE CONTROLLER
SUN July 7 to THUR JULY 11, 2019 -- 6:30 PM to 8:30 PM

Welcome to the CUMC VBS Registration Page. You can register the entire family using this form. Everyone is welcome. All ages are welcome (children and adults) but children under 4 must be accompanied by an adult..

Please contact christianaumc@epix.net or 610-593-6270 if you have any additional questions

* Indicates required field

Attendee # 1 - First and Last Name and Age *

Attendee # 2 - First and Last Name and Age *

Attendee # 3 - First and Last Name and Age *

Attendee # 4 - First and Last Name and Age *

Attendee # 5 - FIrst and Last Name and Age *

Attendee # 6 - First and Last Name and Age *

Parent/Guardian First and Last Name *

Parent/Guardian Address *

Line 1

Line 2

City

State

Zip Code

Country

Parent/Guardian Home Phone Number *

Parent/Guardian Mobile Phone Number *

Parent/Guardian Email Address *

Please list any allergies/special needs/questions/comments. *

Submit