VBS Registration 
Event Date/Timing: August 8th-12th, 2022 from 6:30 - 8:30 pm
Event Address: 1541 Centerville Turnpike, Virginia Beach, VA 23464
Contact us at (757) 366-0406

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Name *
Age  *
Address  *
Phone Number   *
Allergies 
Medications if Any 
Physical / Dietary  Restrictions  *
Please specify the name of any siblings (and age) who will be attending with you. Also, please fill a new form for them.
Do you plan on bringing any guests? If Yes, please type in names, ages and specific days they will be attending? Also please fill in a new form for each of them. 
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