2024 VBS Registration 2024 VBS Registration Please submit one registration per child. Child Name * Grade (Entering in Fall 2024) * Pre-K (3yr old)Pre-K (4yr old)Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade If possible, please place my child in the same group as (child's name) Parent Name * Email Address * Parent Phone Number * Address City Zip Code Secondary Emergency Contact Name * Secondary Emergency Contact Phone * Please list any allergies, medical issues or special needs which we should be aware. By registering, I give my permission for the VBS staff to administer basic first aid to my child in the event of an injury. I understand that the VBS staff will contact emergency services in the event of a significant injury and and all expenses for such emergency services will be paid by me. * Yes, I agree Photo Release * Yes, we give permission for photos of our child to be published No, we do not give permission for photos of our child to be published We occasionally publish pictures of our events in print and electronic publications. We will never publish names, phone numbers, or email addresses. If you are human, leave this field blank.
