JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Register for VBS 2022
Centenary United Methodist Church
200 Hillside Ave, Metuchen, NJ 08840
Contact us at (732) 548-7622 or
centenaryumcnj@aol.com
* Required
Email
*
Your email
Each child’s name, age & gender (All ages are welcome, but please plan to stay with your child (or have a trusted adult remain), if they are under the age of 5. Parents are welcome to stay or drop off, if the child is at least 5 years old.)
*
Your answer
Parent's Name
*
Your answer
House Address (City, State, Zip)
*
Your answer
Phone number
*
Your answer
Family’s Home Church
*
Your answer
Have you participated in a previous VBS with us?
*
Yes
NO
Will parents be helping in any other areas of Jerusalem Marketplace VBS? If so, where?
Your answer
Please list an emergency contact, if you are not available. *Name and phone number
*
Your answer
Please list any medical concerns, including allergies.
Your answer
Do you consent to taking photos of your children to be used on Centenary's church's fb page and website?
*
Yes
No
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Forms
