VBS Registration

  • Contact Information

  • Age Information (for each child)

  • MM slash DD slash YYYY
  • Medical or other information we need to know. (Please include any food allergies.)
  • MM slash DD slash YYYY
  • Medical or other information we need to know. (Please include any food allergies.)
  • Who may pick up your child at the end of each VBS day?
  • Other Information

  • This field is for validation purposes and should be left unchanged.