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 Address Emergency Contact 1 Name & Number(Required) Emergency Contact 2 Name & Number Medical Doctor Name & Number Any 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