VRBP Class Request Form

VRBP Class Request Form (2024~2025)

(All Classes meet from 9:00am ~ 2:00pm)
Parent's Name:*

First NameLast Name
Parent's Phone #:*
Parent's Email:*
example@example.com
Child's Name:*

First NameLast Name
Child's Gender:*
Child's Birthday:*

MonthDayYear
Children are ONLY eligible for classes listed below based on their age. Tell us how old your child will be on 9/1/24 and then select the number of days you want to enroll your child based on their age on this date!

PLEASE NOTE:

The following class is currently FULL:

4 Days (M-Th) - Three Year Olds however the 3 Days (TWTh) class still has availability

** For classes which are full, you can be added to the waitlist if you do not wish to choose the other class option for your child's age group.
Child's age on 9/1/24:*

Toddler (18 - 23 months old)2 years old3 years old4 years old
Number of Class Days Requested:*

2 Days (T/Th) - ONLY for Toddler's (18-23 months)3 Days (TWTh) - ONLY for Two's and Three's4 Days (M-Th) - ONLY for Two's, Three's and Pre-K Four's
Should be Empty:

VRBP Class Request Form (2024~2025)