VBS Registration Child's Name: (required) Age: (required) Grade Completed in June: (required) Street Address: (required) City, State, Zip: (required) Home Phone Number: (required) Cell Phone Number: (required) Email: (required) Parent/Guardian Name: (required) Emergency Contact Name: (required) Emergency Contact Number: (required) T-shirt size of child: (required) —Please choose an option—YOUTH: SYOUTH: MYOUTH: LYOUTH: XLADULT: SADULT: MADULT: LADULT: XL Allergies/Medical Conditions Special Notes