Highland VBS Registration
Please fill this form out completely for EACH of the children you'd like to register. You will also need to print and sign the waiver which you can bring with you on the first day of VBS. PRESCHOOL Class is FULL, thank you for your interest!
Child's First Name *
Your answer
Child's Last Name *
Your answer
Age
Your answer
Birth Date *
MM
/
DD
/
YYYY
Grade in the Fall *
Allergies or Special Instructions
Your answer
Please place my child with (list friend's name)
Your answer
Parent/Guardian's First Name *
Your answer
Parent/Guardian's Last Name *
Your answer
Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Phone Number *
Your answer
Email Address
Your answer
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