VBS - Parents
Hi. Thanks for your interest in our VBS Summer program. Let's walk through this form to get your child(ren) all signed up!
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Parent/Guardian
First Name
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Parent/Guardian
Last Name
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Parent/Guardian
Gender
Female
Male
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Parent/Guardian
Address
Parent/Guardian
Address 2 (Apt/Suite # etc.)
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Parent/Guardian
City
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Parent/Guardian
State/Province
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Parent/Guardian
Zip/Postal Code
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Parent/Guardian
Email
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Parent/Guardian
Mobile Phone
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Privacy Policy
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Parent/Guardian
Alternate Authorized person to check-out child
* Relationship of Alternate Authorized Pick-up person
* # of Kids
Select one
1
2
3
4
5
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Child Release Form
View Waiver
- You must read and agree to the release/waiver before completing registration.
* I agree to the waiver
Select one
Yes
* Parent/Guardian Acknowledgement (Type Full Name)
* VBS Lunch
Select one
1
2
3
4
5
6
7
8
9
10
Add Another Parent/Guardian
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