VBS REGISTRTION FORM
Email address *
CHILD'S NAME:
Your answer
PARENT/GUARDIAN NAME:
Your answer
ADDRESS:
Your answer
AGE OF CHILD:
Your answer
MEDICAL INFORMATION OR OTHER INFORMATION WE NEED TO KNOW INCLUDE ANY FOOD ALLERGIES
Your answer
EMERGENCY CONTACTS: NAME PHONE
Your answer
DISMISSAL INFORMATION - WHO MAY PICK UP YOUR CHILD AT THE END OF EACH VBS DAY?
Your answer
DOES YOUR CHILD NEED A BUS RIDE: *
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