VBS Registration
August 6-10 6:00-7:30 PM Ages 2-12
Parents' Name *
Your answer
Phone Number *
Your answer
Email *
Your answer
Number of Children Being Registered *
First Child's Name *
Your answer
First Child's Age *
Second Child's Name
Your answer
Second Child's Age
Third Child's Name
Your answer
Third Child's Age
Fourth Child's Name
Your answer
Fourth Child's Age
Fifth Child's Name
Your answer
Fifth Child's Age
Any Allergies or Special Needs we need to be aware of?
Your answer
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