VBS 2019 Registration Form
July 14 - 20 from 5:00 PM - 8:30 PM
Please fill one form per child.
Child's Name: *
Your answer
Date of Birth: *
MM
/
DD
/
YYYY
Allergies or Other Medical Conditions: *
(Write "none" if there are no allergies or other medical conditions)
Your answer
T-Shirt Size: *
Father's Name:
Your answer
Contact Number:
Your answer
Email:
Your answer
Mother's Name:
Your answer
Contact Number:
Your answer
Email:
Your answer
Address: *
Your answer
Religion (if any):
Your answer
Emergency Contact: *
(Name and number)
Your answer
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