2019 VBS Participant Registration
Please complete the form below.
Child's Information
First Name *
Your answer
Last Name
Your answer
Birthday *
MM
/
DD
/
YYYY
Grade Entering *
Allergies or Medical Conditions *
Your answer
I give you permission to photograph my child: *
Parent Information
Parent's Name *
Your answer
Phone Number *
Your answer
Address
Your answer
Email Address *
Your answer
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