VBS Registration Form 2018

Child's Name (required)

Parent's Name (required)

Address (required)

Your Email

Phone Number (required)

Child's Age (required)

Child's Grade last completed(required)

Need a Ride? (required)

If not, who will pick your child up at the end of each VBS day? (required)

May we have permission to photograph your child? (required)

Allergies (if any)

Any additional information you would like to provide