SHINE Registration | First Baptist Church of Windsor

Name (Required)

Email Address (Required)

Childs Name (First & Last) (Required)

If you as an adult is registered with us on churchtrac your name will show up on this from not the child's.

Childs Current Age (Required)

Birthday (Required)

Date of Birth for the above-named child?

Grade Completed in 2026 (Required)

Childs Parent(s) or Guardian(s) Name (First & Last) (Required)

Your Address (Required)

Physical address where the child resides normally.

Mailing Address if different from Physical

If you receive mail at a P.O. Box or another address different from the one already provided.

Your Phone Number (Required)

Parent or Guardian Phone Number

Emergency Contact (Required)

In the event of an emergency, who do we contact? Phone number?

Allergies or Medical Info (Required)

Any food or other allergies or medical information that we need to know for the above name child?

Will the child need transportation to and from VBS? (Required)

Who else may we release your child to? First & Last name(s)

We will not release your child to anyone not listed on this form.

Solve 9 + 6 = ?

First Baptist Church of Windsor