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VBS REGISTRATION (FILL OUT ONE PER CHILD)
Monday, August 5th- Friday, August 9th 6-8pm
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Email
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STUDENT'S NAME:
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STREET ADDRESS:
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CITY:
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STATE:
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ZIP:
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HOME PHONE:
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PARENT/GUARDIAN NAME:
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EMERGENCY CONTACT NUMBER:
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ALLERGIES OR SPECIAL NEEDS:
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GRADE COMPLETED
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SHIRT SIZE (WILL BE FREE!):
YOUTH XS
YOUTH S
YOUTH M
YOUTH L
YOUTH XL
ADULT SMALL
ADULT MEDIUM
ADULT LARGE
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