2025 Vacation Bible School Registration Form

Vacation Bible School 2025 Registration

Brought to you by Gloria Dei and Faith Lutheran Churches
July 7 - July 11, 2025 | 5:30-8:00pm (includes dinner for your child at 5:30pm)

Cost: FREE

At Faith Lutheran Church | 1125 Stafford Ave, Bristol, CT 06010

P: 860-583-5809

For children entering Pre-K* to entering 6th Grade

*must be toilet-trained
Parent/Guardian Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Emergency Contact Info:
Is another adult authorized to pick up your child?
If yes, Name:
How did you hear about VBS?

Member of Gloria Dei Lutheran ChurchMember of Faith Lutheran ChurchOther
PARTICIPANT INFORMATION
Child 1 - Name
Child 1 - Grade entering this Fall
Child 1 - Allergies/Other Needs
Child 1 - T-Shirt size
Child 2 - Name
Child 2 - Grade entering this Fall
Child 2 - Allergies/Other Needs
Child 2 - T-Shirt size
Child 3 - Name
Child 3 - Grade entering this Fall
Child 3 - Allergies/Other Needs
Child 3 - T-Shirt size
Child 4 - Name
Child 4 - Grade entering this Fall
Child 4 - Allergies/Other Needs
Child 4 - T-Shirt size
*Please Choose ONE Option Below

I GRANT permission to Gloria Dei, St. Andrew, and Zion Lutheran Churches of Bristol, CT to use the image of my child(ren) in slide shows, video presentations, the churches' websites, television, newspapers, and other publications. No name would appear with the image.I DECLINE permission to Gloria Dei, St. Andrew, and Zion Lutheran Churches of Bristol, CT to use the image of my child(ren) in slide shows, video presentations, the churches' websites, television, newspapers, and other publications. No name would appear with the image.
Signature

Powered by Jotform SignClear
Relationship to Child(ren)
Date

MonthDayYear
Date
Should be Empty:

Vacation Bible School 2025 Registration