VBS 2022 Please enable JavaScript in your browser to complete this form.Child's DetailsChild's Name *FirstLastBirthdate *Allergies? *NoYesWhich allergies?Child's Grade in Fall 2023Kindergarten1st2nd3rd4th5thParental DetailsParent's Name *FirstLastPhoneEmail *Emergency ContactName *FirstLastRelation to ChildPhonePlease list any additional adults authorized to pick up your child:Please list any other special needs:Submit
