VBS/VBX 2017-Student Registration
VBS/VBX 2017 is going to be out of this world!!! Let's grab our telescopes and get ready to go on an adventure of a lifetime with "Galactic Starveyors". For kids who have completed K3 (MUST BE 4yrs by Sept 1)-4th Grade and VBX 5th-6th Grade
Name
Your answer
Gender
Date of Birth
MM
/
DD
/
YYYY
Grade Completed
Parent/Guardian
Your answer
Mailing Address (Street, City, & Zip)
Your answer
Phone #
Your answer
Emergency Contact & Phone #
Your answer
Who Can Pick up Besides Parents
Your answer
Medical Conditions or Allergies
Your answer
Do We have Permission to Photograph or Video and use for the purpose of promotion?
Do you Attend a Church? If so Where?
Your answer
Comments or Notes
Your answer
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