• Classroom/Group Registration Form

    VIP Moments
  • VIP Moments celebrates youth who are at risk of dropping out or are current dropouts with classroom/group birthday party field trips given academic, behaviorial, and/or attendance improvement or re-entry. Visit our gallery for a unique experience that inspires and promotes school re-engagement/re-entry. 

    Register your classroom/group below and select your preferred schedule. If you have any questions, please call (860) 404-6072 or email vipmomentsbyus@gmail.com

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  • Registrant Information

  • Field Trip Details

    Youth Gallery
  • Terms & Agreement

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    • All youth/students will conduct themselves with courtesy and respect toward all parties participating in the field trip, including but not limited to, youth/students, chaperones/teachers, and all personnel interacted with during the field trip.

    • Students will respect public and personal property. Any damages incurred to property as a result of misconduct will be held responsible.
    • Our accounting department will send you the payment information within 24-48 hours after completing this form. Please take note that we only work on business hours and business days.

    • For cancellation, please send an email 10 days before the scheduled date. If the cancellation is made below 10 days, a cancellation fee will be charged. Cancellation made 3 days before the event will not be refunded.

    • By completing this form, you understand that you are required to follow the rules and regulations of VIP Moments during the field trip.
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