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VBS Waitlist 2022
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* Indicates required question
Child's Name
*
Your answer
Child's Birthdate
*
MM
/
DD
/
YYYY
Grade for the 2022-2023 School Year?
*
Your answer
Parent Name
*
Your answer
Parent Cell Phone
*
Your answer
Parent Email
*
Your answer
Emergency Contact (Name and Number)
*
Your answer
Allergies or Special Conditions?
Your answer
Friend request (you can request 1 friend only, and each Friend must request the other friend for the request to be honored)
Your answer
Home Address
*
Your answer
Permission for my child to be photographed
*
Yes
No
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