VBS Registration Form 2018
Child #1 Name *
Your answer
Child #1 Birthday
MM
/
DD
/
YYYY
Child #2 Name
Your answer
Child #3 Birthday
MM
/
DD
/
YYYY
Additional Children's Name & birthdays
Your answer
Adult Contact's Name *
Your answer
Best phone number to reach you at *
Your answer
Email Address (Enter if you'd like email reminders about VBS)
Your answer
Physical Address
Your answer
Emergency Contact and Phone Number *
Your answer
Allergies or other special information
Your answer
My children will attend the following dates:
My children will eat dinner on the following dates
I'd like to volunteer in the following ways with VBS
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