VBS REGISTRATION

To register, please fill out the information below. If you are registering more than one child you will need to fill out a form for each individual child.

Child's Name (First and Last)

Grade

Shirt Size

Allergies/Special Needs

Parent/Guardian: Name

Parent/Guardian: Phone

Parent/Guardian: Email

Emergency Contact Name

Emergency Contact: Phone

Who May Pick Up Your Child: Name/Relation to Child

Submit