KIDZ BLOCK PARTY (aka VBS)
June 10-13 from 6 pm- 8pm
Child's Name
First Name
Last Name
Child's Age/Grade
Age
Grade Going In To
Parent/Guardian Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Does your child have any allergies?
emergency contact
SVBC Member? Yes or No
How did you find out about Kidz Block Party?
Submit
Should be Empty: