VBS 2019 at PUMC - Registration
Event Timing: July 7-11, 2019 • 6:30pm-8:30pm
Event Address: 15114 S. Illinois Street, Plainfield, IL 60544
Contact us at  (815) 436-9651 • pumc@plainfieldumc.com

If you have questions or later need to cancel this registration, please call the church office or send an email to Cheryl.Henbest@plainfieldumc.com.
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Email *
Primary Parent or Guardian Name *
Please enter the primary person(s) to contact during VBS week, associated with the email above.
Primary Parent or Guardian Phone Number *
Enter a phone number for the primary contact person, like: ###-###-####
Secondary Parent or Guardian
Optionally enter a secondary parent or guardian to contact during VBS week.
Secondary Contact Number
Optionally provide a phone number where we can reach a second parent or guardian.  Same format as above:  ###-###-####
Emergency Contact *
Please provide the name of someone we can contact if a parent or guardian is not available.
Phone Number of Emergency Contact *
Please provide the phone number of an emergency contact in the format: ###-###-####
Relationship of Emergency Contact *
What is the relationship to your child or children -- relative, family friend, etc.?
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