VBS Registration 2025
July 28th - 31st 2025 | Please fill out this form and click submit.
Parent(s) Name
*
Family Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Contact Phone Number
*
Contact Email
*
This address will receive a confirmation email
Emergency Contact & Number
*
Child Name
*
Child's Birthday
*
Child's Grade completed (2024/2025 School Year)
*
Gender:
*
Please select one option.
Male
Female
Special Needs/ Allergies/ Other Concerns
*
Child 2 Name
Gender
Please select one option.
Male
Female
Child 2's Grade completed (2024/2025 School Year)
Child 2's Birthday
Special Needs/ Allergies/ Other Concerns
Child 3 Name
Gender
Please select one option.
Male
Female
Child 3's Grade completed (2024/2025 School Year)
Child 3's Birthday
Special Needs/ Allergies/ Other Concerns
Child 4 Name
Gender
Please select one option.
Male
Female
Child 4's Grade completed (2024/2025 School Year)
Child 4's Birthday
Special Needs/ Allergies/ Other Concerns
Submit
Description
July 28th - 31st 2025
Please fill out this form and click submit.
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