VBS Registration

Children in the same home, with the same emergency contacts, can be in one registration.

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* 1. Child First/Last Name and age:

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* 2. Child First/Last Name and age:

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* 3. Child First/Last Name and age:

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* 4. Child First/Last Name and age:

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* 5. Additional children: First/last name and age: 

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* 6. Special considerations for any child listed (allergies, dietary needs, adaptive equipment, etc.) 

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* 7. Address: 

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* 8. Guardian Full name and phone number:

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* 9. Additional emergency contact, Name and number: 

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* 10. Name of family members attending VBS: 

0 of 10 answered
 

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