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VBS Registration
Please fill out for each child.
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* Indicates required question
Child's Name
*
Your answer
Gender
*
Choose
Male
Female
Age
*
Your answer
Birthdate
*
MM
/
DD
/
YYYY
Last Completed Grade
*
Choose
K
1
2
3
4
5
List any: Medications, Allergies, Medical Conditions
*
Your answer
T-shirt size (Shirts requested after 7-25 may not be in)
*
YXS
YS
YM
YL
YXL
XXL
Please list all that can pick up your child
*
Your answer
Father's name
*
Your answer
Father's Email
*
Your answer
Father's Cell Phone
*
Your answer
Father's Address
*
Your answer
Mother's name
*
Your answer
Mother's Cell Phone
*
Your answer
Mother's email
*
Your answer
Mother's Address
*
Your answer
Emergency Contact (Name, Phone)
*
Your answer
Please review linked document.
https://drive.google.com/file/d/1kr33lN9K6ajqFvXgEvLRPLw6ErEqYYVW/view?usp=sharing
*
By selecting yes you agree to all terms within the document.
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Yes
No
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