Vacation Bible School
at

Eldridge United Methodist Church

Monday, July 17 – Friday, July, 21
11:00 am – 1:30 pm
 
Fun, Faith, Fellowship & Food!
 
Registration is open to kids grades k-6th.
REGISTER TODAY
 

    Please fill out all the required fields below to register your child(ren) for vacation bible school at Eldridge United Methodist Church. Please use "NA" in fields that will be left blank. Please complete the Captcha below & hit the send button and wait for the confirmation message. If you have any questions or would prefer to register over the phone, please call the church office at 563-285-4314.

    1.) Child's Name (required)

    Child's Grade in the Fall (required)

    Child's birthdate: (required)

    2.) Child's Name (required)

    Child's Grade in the Fall (required)

    Child's birthdate: (required)

    3.) Child's Name (required)

    Child's Grade in the Fall (required)

    Child's birthdate: (required)

    Parent's Name (required)

    Email Address (If using an @yahoo.com or @aol.com email, please call to register. (required)

    Phone Number (required)

    Mobile Phone Number

    Texting Available?

    YesNo

    Your Street address

    City

    Your home church

    Food or medical allergies (if any)

    Emergency Contact name (required)

    Emergency Contact Phone (required)

    Emergency Contact Relationship (required)

    Person(s) who may pickup child:

    1.)Name of person that may pickup child (required)

    Contact Phone (required)

    2.)Name of person that may pickup child (required)

    Contact Phone (required)

    Photography permissions:

    I am giving permission to take photos of my child(ren) during the VBS activities:

    YesNo

    I am giving permission to use photos of my child(ren) for promotion of VBS on EUMC's website & Facebook page:

    YesNo

    Any additional information you would like to provide

    captcha