Register for VCS

We invite all of God’s children, ages four—5th grade, to this year’s VCS! If you have any questions, please contact Jen King at 412.441.3800 x222 or JenK@coh.net.

Step 1 of 4

Student Information
Student's Name*
First Last
Student's Age as of June 22, 2026*
Student's Birth Date*
Month
Day
Year
Student's Address*
Street Address Address Line 2 City State ZIP Code
Grade Completed as of June 2026*
Our Preschool Class for children age 4 and 5 who have not yet started Kindergarten is CURRENTLY FULL. Complete this registration to be added to the waitlist.
Student's Gender*
Student's Preferred Pronouns*
(she, he, they, etc.)
Does your child have any food or environmental allergies?
If so, please list them.
Does your child have any special needs?
If so, please list them.
Will your child need to take medicine during their day with us? If so, please list the name of the medication and dosage.
If so, please list them.
Note About Preschool-Age Children
VCS Preschool is for children age 4 (must be 4 by June 22, 2026) to age five who have not completed Kindergarten. All preschoolers must be toilet-trained. Has your preschooler ever attended daycare/camp/preschool before?
- Yes
- No

Parent(s)/Legal Guardian(s) of Student
Parent/Guardian (1)*
First Last
Parent/Guardian (1) Home or Cell Phone Number
Parent/Guardian (1) Work Phone Number
Parent/Guardian (1) Email Address
Address of Parent/Guardian (1) if different then child's address listed above
Street Address Address Line 2 City State ZIP Code
Parent/Guardian (2)
First Last
Parent/Guardian (2) Home or Cell Phone Number
Parent/Guardian (2) Work Phone Number
Parent/Guardian (2) Email Address
Address of Parent/Guardian (2) if different then child's address listed above
Street Address Address Line 2 City State ZIP Code

Emergency Contact
Please fill in all contact information in case we are unable to reach you.
Emergency Contact Person (OTHER than primary parents/guardians listed above)*
First Last
Relationship to Student*
Cell Phone
Home Phone
Work Phone
Address
Street Address Address Line 2 City State ZIP Code
Pick-Up Authorization*
Please list everyone who is authorized to pick up your child:

Register for VCS

Step 1 of 4

Student Information

Parent(s)/Legal Guardian(s) of Student

Emergency Contact

Photo Release Authorization

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