VBS Registration 2025

Parent 1 Email Address

This address will receive a confirmation email

Parent 1 Mailing Address

Parent 2 Email Address

Parent 2 Mailing Address

Child #1 Name (include Last Name if different than above)

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 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 (include Last Name if different than above)

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

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 (include Last Name if different than above)

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

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 2025

Description

Please Fix the Following