TREASURED VBS Registration

Please fill out this form and click submit.

Child's Name

*

Age Group

*

Please select one option.

4-5(Has not yet attended Kindergarten) Completed Kindergarten Completed 1st Grade Completed 2nd Grade Completed 3rd Grade Completed 4th Grade

Phone

*

Email

*

This address will receive a confirmation email

Address

*

Medical Information

Please list any allergies or medical conditions we should know about to better serve your child(ren). (If you are registering multiple children, you may use this space to share information about each child.)

Additional Children

Child's Name

Age Group

Please select one option.

4-5(Has not yet attended Kindergarten) Completed Kindergarten Completed 1st Grade Completed 2nd Grade Completed 3rd Grade Completed 4th Grade

Child's Name

Age Group

Please select one option.

4-5(Has not yet attended Kindergarten) Completed Kindergarten Completed 1st Grade Completed 2nd Grade Completed 3rd Grade Completed 4th Grade

Child's Name

Age Group

Please select one option.

4-5(Has not yet attended Kindergarten) Completed Kindergarten Completed 2nd Grade Completed 2nd Grade Completed 3rd Grade Completed 4th Grade

Child's Name

Age Group

Please select one option.

4-5(Has not yet attended Kindergarten) Completed Kindergarten Completed 1st Grade Completed 2nd Grade Completed 3rd Grade Completed 4th Grade

Description

Please fill out this form and click submit.

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