Register | East Union Church

VBS Registration Form

Parent/Guardian Name:

Email

Mobile Phone (Phone Number you can be reached at during VBS)

Street Address

State

City

Zip Code

Name - Child #1

Child #1 - Child Birthdate & Grade Completed

Child #1 - Allergies or Other Concerns

Name - Child #2

Child #2 - Child Birthdate & Grade Completed

Child #2 - Allergies or Other Concerns

Name - Child #3

Child #3 - Child Birthdate & Grade Completed

Child #3 - Allergies or Other Concerns

Name - Child #4

Name - Child #5

Child #4 - Child Birthdate & Grade Completed

Child #4 - Allergies or Other Concerns

Child #5 - Child Birthdate & Grade Completed

Child #5 - Allergies or Other Concerns

We appreciate a donation of $10 per child to offset our costs, with a maximum of $20 per family. This is not a registration fee, but a donation.

Please give as you are able – no child will be turned away!

To donate online; click the GIVE button in the top right hand corner of this website.

We now also accept Venmo for donations.

Checks may be made payable to: East Union Church Please note “VBS” in the memo line. (Payable at the door.)