VBS Registration Form

Please complete all information for each child being registered!

If you are only registering one child, it will be necessary to enter n/a in each of the required fields for Child 2 and Child 3.

* Required fields
Name *
E-mail Address *
Person registering the child/children: *
Phone number of person registering children *
Name of child 1 *
Child 1 EMERGENCY PHONE NUMBER *
Address of child 1
Child 1's age / grade completed this year
Child 1 food allergies
Child 1 T-shirt size Small
Medium
Large
Name of child 2 *
Child 2 EMERGENCY PHONE NUMBER *
Address of child 2
Child 2's age / grade completed this year
Child 2 food allergies
Child 2's T-shirt size Small
Medium
Large
Name of child 3 *
Child 3 EMERGENCY PHONE NUMBER *
Address of child 3
Child 3's age / grade completed this year
Child 3 food allergeist
Child 3's T-shirt size Small
Medium
Large

I have read and agree to the Privacy Policy *

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Thank you for registering your child/children!  See you on June 27!