VBS Sign Up

If you are registering more than one child, please register them all separately. Thank you.

Sponsor / Parent Name*

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Address*

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City*

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State*

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ZIP*

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Emergency Contact Number*

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Child's First Name*

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Child's Last Name*

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Sex*

Boy

Girl

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Age*

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Grade Completed*

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Food Allergies

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Is there anything else we need to know about this child?

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Do you indicate a release to provide instructions, snacks, take pictures and obtain emergency care:)

Yes, I consent

No, I don't consent

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Enter this code*

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