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VBS Registration
Three exciting sessions available. Choose yours below;
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Session 2
July 20th-24th
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Session 3
August 10th-14th
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Student Name:
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Your answer
Student DOB:
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MM
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DD
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YYYY
Student Age:
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Grade Fall 2026:
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Gender:
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Female
Male
Food Allergies:
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Other Allergies:
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Parent Name:
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Address:
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Parent Email:
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Parent Phone Number:
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Emergency Contact Name:
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Emergency contact phone number:
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Emergency contact relationship:
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ONLY
FOR **
EXTENDED CARE
**
Before Care $40 weekly (7am-9am)
After Care $40 weekly (1pm-3pm)
BOTH $80 weekly
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