VBS Registration 2024

VBS will be held Monday - Friday, June 17-21, 2024 9:00 a.m. - 4:00 p.m.

Location: First Church of Christ, Simsbury - 689 Hopmeadow St. Simsbury, CT 06070
• Children must be at least four years old (as of May 31st, 2024) - 5th grade (spring 2024).
• Registration will begin on Sunday, March 1st. Each child will be registered upon the receipt of a completed registration form and payment for the program.
• The cost per child is $250 if received by June 1, 2024. For late registration please email slindsay@fccsimsbury.org.
• Registration Closes June 1st.
• Campers must bring a healthy lunch and refillable water bottle to camp. Campers will be provided with a snack each day.

Parent 1 Name

Parent 1 Cell Phone

Parent 1 Email Address

This address will receive a confirmation email

Parent 1 Mailing Address

Parent 2 Name

Parent 2 Cell Phone

Parent 2 Email Address

Parent 2 Mailing Address

Child #1 Name

Child #1 Nickname

Please share your child's pronouns. We want to know how to respectfully refer to your child. She/Her/Hers He/Him/His They/Them/Theirs

Child #1 Date of Birth

Child #1 Age

Child #1 Grade

Child #1 Allergies

Children will be Grouped by Grade. If your child has a friend, in their grade, they would like to be grouped with, please list:

This Child May Benefit from a 1-on-1 Special Supervisory Buddy:

Yes - Please take a moment after registering to complete our VBS Special Needs Considerations Form to provide helpful information about your child. Our goal is that each child has a great experience at VBS. No

T-Shirt (Youth Size)

XS S M L XL XXL

Home Church

Child #2 Name

Child #2 Nickname

Please share your child's pronouns. We want to know how to respectfully refer to your child. She/Her/Hers He/Him/His They/Them/Theirs Other

Child #2 Date of Birth

Child #2 Age

Child #2 Grade

Child #2 Allergies

Children will be Grouped by Grade. If your child has a friend, in their grade, they would like to be grouped with, please list:

This Child May Benefit from a 1-on-1 Special Supervisory Buddy: Yes - Please take a moment after registering to complete our VBS Special Needs Considerations Form to provide helpful information about your child. Our goal is that each child has a great experience at VBS. No

T-Shirt (Youth Size) XS S M L XL XXL

Home Church

Child #3 Name

Child #3 Nickname

Please share your child's pronouns. We want to know how to respectfully refer to your child. She/Her/Hers He/Him/His They/Them/Theirs

Child #3 Date of Birth

Child #3 Age

Child #3 Grade

Child #3 Allergies

Children will be Grouped by Grade. If your child has a friend, in their grade, they would like to be grouped with, please list:

T-Shirt (Youth Size) XS S M L XL XXL

Home Church

Emergency Contact #1 Name

Emergency Contact #1 Phone

Emergency Contact #2 Name

Emergency Contact #2 Phone

Dismissal Information (in addition to the parents(guardians), and emergency contacts listed above) the following person(s) may pick up child(ren) from VBS:

I give permission for my child to be photographed or videoed by First Church of Christ, Simsbury. We often post photographs of events on our website, in our emails, and on our social media accounts (Instagram & Facebook). We never use names, only images.

Yes No

I am aware that my child(ren) must bring a lunch each day.

Yes No

The cost per child is $199

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

VBS Registration 2024

Description

Please Fix the Following