VBS 2021 Waitlist Form

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* Indicates required question

Child's Name *

Your answer

Grade Completed *

PS/KG

1st

2nd

3rd

4th

Date of Birth *

MM

/

DD

/

YYYY

Parent's Name *

Your answer

Cell Number *

Your answer

Email *

Your answer

Address *

Your answer

Emergency Contact *

Your answer

Allergy Information & names of those authorized to pick up your child from VBS: *

Your answer

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