VBS Registration Form

Registration Form

Vacation Bible School
We are excited to have your child join us for our

Vacation Bible School adventure!

August 3-7, 2025

5:30 p.m. - Free Dinner

6:00 - 8:00 - VBS

First United Methodist Church

220 South Main Street

New Carlisle, Ohio

(937) 845-8435
Child's Name:*

First NameLast Name
Child's Age:*
Child's Date of Birth:*

MonthDayYear
Date
Child's Gender*

MaleFemale
Child's Last School Year Completed: *
Name of Parent 1*

First NameLast Name
Name of Parent 2*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number:
Please enter a valid phone number.
Parent/Caregiver's Cell Phone Number:*
Please enter a valid phone number.
Email*
example@example.com
Will you join us for dinner each night?
How many from your family will be joining us for dinner?
Where is your home church?
Please list any alternate pick-up persons with phone numbers for your child:
Emergency Information
Allergies, medical conditions, or special needs:*
In case of emergency contact:*
Phone Number:*
Please enter a valid phone number.
Relationship to child:*
Should be Empty: