VBS Registration

VBS Registration Waiting List

VBS Registration is currently closed. You can register on this page for the waiting list. You will be contacted after completing the form.

"*" indicates required fields

Parent Name(s)*

Best Phone Number*

Address*

Street Address ZIP / Postal Code

Name of Contact During VBS Hours*

Contact Number*

Select ONE Of the following weeks*

Number of Children to Register

Child Name

Date of Birth

Age

Class to be Enrolled in (Grade Completed by June 2023):

Second Child Name

Date of Birth

Age

Class to be Enrolled in (Grade Completed by June 2023):

Third Child Name

Date of Birth

Age

Class to be Enrolled in (Grade Completed by June 2023):

Please list known food & medication allergies, plus special medical needs of your child:

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