VBS 2018 Registration
Child's Name *
Your answer
Parents' Names *
Your answer
Mailing Address *
Your answer
Email Address *
Your answer
Mother's Telephone Number *
Your answer
Father's Telephone Number *
Your answer
Emergency Contact -- Name and Relationship to Child *
Your answer
Emergency Contact's Telephone Number *
Your answer
Child's Date of Birth (mm/dd/yyyy) *
Your answer
Grade or Preschool Class Completed in 2017-2018 School Year *
List Any Food Allergies (State NONE if no allergies) *
Your answer
T-Shirt Size *
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