VBS Registration Form

REGISTER TODAY!!! Call Ashley Bossert at 402-289-4764 or complete the form below!

There is no fee to attend VBS at Elkhorn Hills UMC.

Child's Name (required)

Gender (required)

Grade Fall 2017 (required)

Current Age (required)

Any Health or Allergy Concerns?

Is there another child you'd like to be grouped with?

We try our best to group kids with their friends, but this is not always possible.

Parent Name (required)

Parent Email (required)

Parent Phone Number (required)

Will you be staying to help with VBS?
YesNo

I give permission for pictures taken of my child to be used in future EHUMC publications.
YesNo

Any other comments or concerns: