VBS Registration Form VBS registration -Child's name *Date of brith *Child's d.o.b.Parent's name(s) *Address Street AddressCity and zip code *City, State and zip codeHome phone please include area codeCell phone no. please include area codeYour email address *Emergency contact person *Only in the event we can't reach youEmergency contact phone Your home church "None' if you don't have a home churchDoes your child have allergies? *yesnoPlease list allergies Please list allergiesAnything we should know about your child? Alternate email Optional VerificationPlease enter any two digits with no spaces (Example: 12) *this helps to prevent spamThis box is for spam protection - <strong>please leave it blank</strong>:
