VBS 2025 RegistrationJune 9th - June 11th (9am- 12p.m.) Age 3 (* must be potty trained) through entering 5th Grade. Child's Name * First Name Last Name Gender * *Select Male Female Age * *Select 3 4 5 6 7 8 9 10 11 12 Last Grade Completed * *Select Pre-K K 1st 2nd 3rd 4th 5th Not School Age Parent's Name * Address * Phone * (###) ### #### Line Allergies, Medical Conditions, or Special Accommodations * Emergency Contact and Relationship to Child * Emergency Contact Phone * (###) ### #### Thank you!
