VBS Registration
VBS Registration
If you have more than 3 children please fill out and submit the form twice. Thank you.
Parents Name
*
First
Last
Email
*
Phone
*
-
###
-
###
####
Address
*
Street Address
Address Line 2
City
Select a State
Alabama
Alaska
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California
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District of Columbia
Florida
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Louisiana
Maine
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Ohio
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Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State / Province / Region
Postal / Zip Code
United States
Country
Child 1
*
First
Last
Child 1 Birthdate
*
/
MM
/
DD
YYYY
Grade Child 1 just finished
*
Child 2
First
Last
Child 2 Birthdate
/
MM
/
DD
YYYY
Grade Child 2 just finished
Child 3
First
Last
Child 3 Birthdate
/
MM
/
DD
YYYY
Grade Child 3 just finished
Please tell us where you can volunteer and help out and what days. Thank you.
Type the letters you see in the image below.