Madison Street United Methodist Church


Please register below for VBS 2021, Anchored.
Please note that only snacks will be served this year, and students should eat something more substantial before coming each day.
Each child must be registered individually.
July 30, 6:00-8:00pm
July 31, 10:00am-noon
August 1, 9:00-11:30am
* Denotes a required field to fill in
Child's First Name *
Child's Last Name *
Please indicate the grade your child will be in for the 2021-2022 school year.*
PreK (4)
1st grade
2nd grade
3rd grade
4th grade
5th grade
Guardian's Name *
Phone (including area code) *
Email *
Verify Email *
Please read the following.  Indicate your acceptance of these policies by typing your first and last name in the box provided.

Media Release
Madison Street United Methodist Church has my permission to photograph my child for church promotional purposes including posting on the church website.  At no time will a child be identified in said picture(s) by name, address, or other identifying information unless prior written permission is granted by parent or legal guardian.

Liability Release
I understand that all reasonable safety precautions will be taken at all times by Madison Street United Methodist Church.  In giving my child permission to attend this event, I release Madison Street United Methodist Church, volunteer leaders, and staff from liability for damages, losses, illness, or injuries incurred by my child.  I understand that I, or the emergency contact listed on the registration, will be contacted at the numbers provided. 


Check here if you would like a VBS t-shirt and choose size below.  T-shirts are $6.
T-Shirt ($6)
If you are ordering a t-shirt, please choose size:
List allergies your child has. Please include food allergies. Type "none" if they do not have allergies. *
Please provide the name and telephone number of at least one additional person we may contact in the event of an emergency.*
Please indicate how you heard about our VBS:   Clear My Answer
In Church Advertising