VBS Registration Parent or Guardian Name * First Name Last Name Phone * Emergency Contact (###) ### #### Email * Additional Parent/Guardian Name First Name Last Name Phone * Second Contact (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Child's Name * First Name Last Name Grade Most Recently Completed * Pre K (3 yo) Pre K (4 yo) Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade Allergies or Special Needs Other Children Siblings and What Grade(s) Recently Completed Other Important Information allergies for siblings etc. Photo Release * Yes No Thank you!
