Register for VBS

Family Information

Address

Primary Phone

Alternate Phone

Relationship to Student Father Mother Grandfather Grandmother Great-grandfather Great-grandmother Brother Sister Uncle Aunt Guardian Foster Parent Granduncle Grandaunt Other

Phone Number

Pick Up Authorization Please indicate if there are other individuals (not already listed on the form) who are authorized to pick up/ drop off your child, as well as their phone number.

Payment Information E-transfer Cash on first day Other Price: $70 per child (Family maximum price of $200) Please look out for an invoice email that will be sent shortly after registration. Please disregard this email if you have other payment arrangements than those listed.

Student Information

Gender

Birth Date

Age Group

Food Allergies

Details

Medical Concerns

Details

Other Information Is there any other information regarding your child we should note?

I have more students to register