VBS Registration Form
August 25 - 27 5:30 PM to 8:00 PM - free to all
Parent/Guardian Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Child's Full Name
*
First Name
Last Name
Child's Age
*
Please Select
5
6
7
8
9
10
11
12
Will your child attend the free light meal at 5:30 PM?
*
Yes, we'll be there!
No, we'll arrive at 6:00 PM
Not sure yet
Authorized Pickup Name
*
First Name
Last Name
Do you give permission for your child's photo to be taken during the event?
*
Yes
No
Do you give permission for your child's photo to be posted online?
*
Yes
No
Notes (allergies, special needs, or questions)
Important:
Your child will only be released to the registered parent/guardian or the person listed as authorized pickup. You may answer the photo questions differently. Saying 'No' to online posting will not affect your child's participation.
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