VBS Info and Registration

July 10-14, 2017
9:00 A.M. to 12:00 P.M.

 Join the crew for five fun-filled days of learning, crafts, and activities.

Registration is free. Donations welcome!
Pre-K through 6th grade (Must be potty-trained)
To register, please call: 732.671.0707
or complete the form below.


Volunteers age 13 and older are needed. If you can help us, please contact: 732.671.0707

Child Name*
Date of Birth*
Grade entering in September*
Medication Conditions?*
If Yes, Please Explain
Parent Names*
Street Address*
City, State, Zip*
Home Phone*
Email Address*
Mobile Phone
Emergency Contact*
Relationship to Child*
Emergency Contact Phone*
Name of adult authorized to drop off/pickup child*
Additional Comments
***We regularly and periodically take photos and videos at Middletown UMC events intended for public and future use on our church website and publications. Do we have your permission for your child(ren) to be included?* YES   NO