VBX Registration Form
VBX is open to all incoming preschool through 5th graders! It's FREE!
Child's Name *
Your answer
Address
Your answer
Phone (parent)
Your answer
Email
Your answer
Parent's Name(s)
Your answer
Emergency Contact/Number
Your answer
Child's Grade Next Fall
Your answer
Food Allergy? (please list)
Your answer
Special Needs?
Your answer
Comments/Extra Children
Your answer
Thanks in advance for signing up for VBX!
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