VBS 2022

Registration

Please fill out the form below to register your child for VBS. We require that you fill out this form for each child participating in VBS this year.

Child's Name

First Name

Last Name

Child's Date of Birth

YYYY

Child's Grade

Allergies/Special Needs

Parent/Guardian Name

First Name

Last Name

First Name

Last Name

Mobile Phone

(###)

###

####

Who may pick your child up at the end of each VBS day? (if different than parent or guardian)

Person 1

First Name

Last Name

Relationship to child

Phone

(###)

###

####

Person 2

First Name

Last Name

Relationship to child

Phone

(###)

###

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