VBS 2023 Registration
Please fill out one per child
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Parent/Guardian's First and Last Name  *
Child's First and Last Name  *
Child's Date of Birth *
Child's Grade Level for 2023-2024 School Year *
Home address *
Phone Number *
Is this the primary number to contact in case of emergency during VBS? *
If not, what number should we contact first?
Email Address *
Preferred Method of Contact *
Additional Emergency Contact 
*Please include name, relation and phone number* 
Who can pick up your child? *
Does your child have any allergies?
Does your child need any special accommodations or things we should know about?
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