VBS Registration "*" indicates required fields FacebookThis field is for validation purposes and should be left unchanged.Parent InformationParent Name(s)*Best Phone Number*Address* Street Address ZIP / Postal Code Email Contact InformationName of Contact During VBS Hours*Contact Number*Select WeekSelect ONE Of the following weeks*Week 2 - July 13-17 - Wait ListedChild InformationNumber of Children to Register 1 2 3 Child NameDate of Birth MM slash DD slash YYYY AgeTo enroll, children must be 4-years-old on or before September 30, 2026Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th GradeSecond Child NameDate of Birth MM slash DD slash YYYY AgeTo enroll, children must be 4-years-old on or before September 30, 2026Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th GradeThird Child NameDate of Birth MM slash DD slash YYYY AgeTo enroll, children must be 4-years-old on or before September 30, 2026Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th GradePlease list known food & medication allergies, plus special medical needs of your child:Help us to verify that this form is from a real person.
