VBS Child Information

Parent/Guardian Information

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* 1. Parent/Guardian Information

What is your child's name?

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* 2. What is your child's name?

What is your child's gender?

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* 3. What is your child's gender?

What is your child's age?

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* 4. What is your child's age?

What days will your child be attending?

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* 5. What days will your child be attending?

If yes, please explain.

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* 7. If yes, please explain.

Please provide Medical Insurance information below.

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* 8. Please provide Medical Insurance information below.

In case of emergency, who should we contact?

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* 9. In case of emergency, who should we contact?

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