VBS registration form
Event Timing: June 25th-29th, 2018 from 9am-12noon
Ages: 4-12
Event Address: 387 New Harwinton Rd. Torrington, CT 06790
Contact us at (860) 482-7464 or vbs@tfact.org
Email address *
Child's name: *
Your answer
Child's gender: *
Date of birth: *
MM
/
DD
/
YYYY
Last school grade completed: *
Your answer
Name of parent: *
Your answer
Street address: *
Your answer
City: *
Your answer
State: *
Your answer
ZIP: *
Your answer
Home telephone: *
Your answer
Parent/caregiver's cellphone: *
Your answer
Home church: *
Your answer
Allergies or other medical conditions: *
Your answer
In case of emergency, contact: *
Your answer
Phone: *
Your answer
Relationship to child: *
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Torrington First Assembly. Report Abuse - Terms of Service - Additional Terms