Game On VBS Registration
Please fill out each portion of the registration as it will be helpful during our time with your child. Thank you!
Child's Name *
Your answer
Birthdate *
MM
/
DD
/
YYYY
Last Grade Completed in School *
Required
Parent/Guardian's Name *
Your answer
Address *
Your answer
Phone Number *
Your answer
Email
Your answer
Medical Information/Allergies
Your answer
Emergency Contacts (Names and Numbers) *
Your answer
Pickup Information *
May we have permission to photograph your child? *
Please check the following box: *
Required
Please check the following box: *
Required
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