VBS Registration 2021

Register a Family for VBS

Enter the information below to register your family for our upcoming VBS program. It is important that we have ALL attendees (adults, children and volunteers) registered ahead of time, even if some will only be coming for short periods of time. If you have any issues registering please contact Loni Cuatt at coronaumc.childrensministry @ gmail .com

* Indicates required field

# of Total People in your Family Group *

# of Children Participating in VBS *

Please enter information for all children (we recommend ages 3-12) you would like to receive Imagination Station (crafts) and other supplies for. If others would like to receive supplies for others you should fill out this section for them too.

Name of Child #1 *

First

Last

Birth Date (M/D/Y) *

Grade in Fall 2021 *

Name of Child #2 *

First

Last

Birth Date (M/D/Y) *

Grade in Fall 2021 *

Name of Child #3 *

First

Last

Birth Date (M/D/Y) *

Grade in Fall 2021 *

Name of Child #4 *

First

Last

Birth Date (M/D/Y) *

Grade in Fall 2021 *

Name of Child #5 *

First

Last

Birth Date (M/D/Y) *

Grade in Fall 2021 *

Name of Child #6 *

First

Last

Birth Date (M/D/Y) *

Grade in Fall 2021 *

Parent/Guardian's Name *

First

Last

Parent/Guardian's Name *

First

Last

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Name of Additional Attendees (Not receiving supplies) *

First

Last

Age Group *

Name of Additional Attendee *

First

Last

Age Group *

Name of Additional Attendee *

First

Last

Age Group *

Name of Additional Attendee *

First

Last

Age Group *

Allergies/Special Needs

Does your child/children have any allergies for medical issues we need to be aware of? *

Will the child/children be bringing an EpiPen with them to VBS? *

Yes No

Is there something unique you would like to share about your child/children that would assist us in making this experience a great one? (Health concerns, special needs such as sensory concerns, ADHD, Autism, Asperger’s, Down Syndrome, etc) *

Medical

I, the undersigned, hereby authorize a representative of Corona United Methodist Church to consent to and authorize emergency medical treatment, surgery or dental care to be given to my son/daughter as considered advisable or necessary in the judgment of an emergency medical professional or attending physician.

Please type your name indicating your consent *

Permission

The registrant(s) has/have my permission to participate in Corona United Methodist Church VBS 2021. I understand when participating in VBS activities, the registrant(s) may be photographed for print, video, or electronic imaging. I understand the images may be used in promotional materials for Corona United Methodist Church. I acknowledge the images will be the sole property of Corona United Methodist Church.

Please type your name indicating your consent *

Acknowledgement

I acknowledge that an adult will stay with my child the entire time they will be in attendance of VBS, everyone will keep their mask on (excluding those under the age of 2).

Please type your name indicationg your consent: *

Registration Fees (check all that apply)

You may pay it online using a credit card or mail a check to the church office ahead of time or on the 1st day of VBS. Please note the VBS fee is non refundable.

Please select one *

I will pay the $15 registration fee (per participating child) online I will mail a check to Corona UMC I will pay my registration fees in person by cash or check I am interested in a scholarship

This link will take you to the Tithe.ly website.
Please select "special giving" as the type of offering and in the notes/memo section please type in the letters VBS.

Submit

​​Register a Family for VBS

Register a Family for VBS