Vacation Bible School

Vacation Bible School Registration Form
June 23-25, 2026

2:30-5:30 p.m. daily

First United Methodist Church
200 S. Walnut St
Taylorville, IL 62568

Open to children who have completed one year
of pre-school through those entering 6th grades.
Childs Name*

First NameLast Name
Child's Age*
Date of Birth*
Last school grade completed*
Name of parent(s)/guardian(s)*

First NameLast Name
Name of parent(s)/guardian(s)

First NameLast Name
Address*

Street Address

Street Address Line 2

City

Zip Code
Parents Number*
Please enter a valid phone number.Format: (000) 000-0000.
Home Email
example@example.com
Home Church*
In case of emergency, contact*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to child*
YesNo
Allergies or other medical conditions*
If there are not any then please say "none" in the box.
YesNo
Photo/video permission: Please select one of the options below:
YesNo
Parent/Guardian Signature*

Clear
Should be Empty:

Vacation Bible School Registration Form