VBS Child Registration
June 11, Kick Off from 6-8pm // June 12-15, 9am -12pm
Child's Name
First Name
Last Name
Grade Child Just Completed
Please Select
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Does Your Child Have Any Allergies?
Yes
No
If you answered YES, please list those here:
Is there anything we need to know about your child?
Parent's Name
First Name
Last Name
Parent's Phone Number
Please enter a valid phone number.
Parent's Email Address
example@example.com
Submit
Should be Empty:
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