VBS Registration
VBS for 4-year-olds through entering 5th grade.
Please fill out all the required fields for each child attending VBS.
Child's name *
Child's gender *
Child's date of birth *
MM
/
DD
/
YYYY
Grade entering in August *
Allergies (list allergies that your child may have) (If no allergies, please type, 'none') *
Parent's/Guardian name *
Parent/Guardian Contact Number *
In case of Emergency Contact (name, phone number, and relationship to child) *
The person(s) authorized to pick up my child is *
Street Address
Submit
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