V.B.S Registration Student Registration Form Child's First & Last Name(Required)Child's Age(Required)45678910111213141516Child's Birth Date(Required)Child's Grade for the '22-'23 school year(Required)Parent/Guardian Name(s)(Required)Best Phone Number to Contact(Required)E-Mail AddressEmergency Contact 1 Name & Number(Required)Emergency Contact 2 Name & NumberMedical Doctor Name & NumberAny Allergies or Special Needs?Who may pick up your child at the end of each VBS Day?(Required)Must have identification when picking up any child to ensure safety. Δ
