Please complete this form for each child you wish to register for the 2023 VBS program at Jonestown United Methodist Church.
Registering ahead of time helps us plan and is greatly appreciated. However, walk-in registrations will be accepted. Online registration will close on Saturday, June 24.


"Who is my Neighbor?" VBS
June 26th - 29th (Mon - Thur), 6 - 8pm at Jonestown United Methodist Church
The age range is Ages 4 through finished 5th grade

Questions/concerns - please call JUMC at 717-865-4369 or Zion's Lutheran at 717-865-2848.

*  Parent (Full) Name:



*  Child (Full) Name:



*  Child Age:



Grade the Child Just Finished (if applicable):



E-mail Address:



*  Telephone:
Home:  
Cell:  


Address:



Emergency Contact (if different from above):



Allergies:



Comments/special instructions:



Photo/Video Release:
  I hereby grant permission for my child/ren listed on this form to be included in pictures, promotional material, and publications connected with Vacation Bible School at Jonestown United Methodist Church. My child’s picture/video may be taken and appear in publications, such as, but not limited to, as follows: church newsletter, PowerPoint presentations, church’s website (www.jonestownumc.org and/or www.zionsjonestown.com), church's Facebook posts, church brochures, postcards, and flyers. (Note: Your child's name and age will never be published.)