VBS Registration

Childs Name
Childs age
Childs date of birth
Last school grade completed
Name(s) of parent(s)
Address
- Street Address
- Address Line 2
- City
- State / Province / Region
- Postal / Zip Code
- Country
Phone Number
Email Address
Secondary contact name and number
Alergies or other medical conditions
emergency contact number
Emergency contact relationship to child

2020 VBS Registration form