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*
Transportation will be offered to VBS each day. Parents or guardians will be responsible for picking the children up at First United Methodist Church when VBS concludes. Please note below if your child will be transported by the churches to VBS.*

YesNo
Allergies or other medical conditions*
If there are not any then please say "none" in the box.
Are you interested in volunteering at VBS?

YesNo
Photo/video permission: Please select one of the options below:
Do you give permission for photos and videos to be published in print or electronically?*

YesNo
Parent/Guardian Signature*
Should be Empty:

Vacation Bible School Registration Form