VBS Registration

Child(ren) to Register (click "+" to add more)*
Name Age (as of July 17, 2023)
Name of Parent/Guardian*
Phone*
Email
Address*
Street Address City Province Postal Code
Home Church (if applicable)
Food Allergies/Medical Needs (please describe)
Alternate (Emergency) Contact
Alternate (Emergency) Phone
Additional Notes
How you heard about us (check most applicable)
- Word of mouth
- Internet
- Sign/Advertising
CAPTCHA

Name	Age (as of July 17, 2023)