VBS REGISTRATION

Please fill out this form and click submit. Make sure to read the waiver as well.

Parent/Guardian Name

*

Email

*

This address will receive a confirmation email

Phone

*

Address

*

All children must be able to use restroom unattended

*

Please select one option.

I understand

Child 1 Name

*

Child 1 Age Group

*

Please select one option.

3-4 years old 5-6 years old 7-8 years old 9-10 years old

Are there any allergies or special instructions we need to know about?

*

Child 2 Name

Child 2 Age Group

Please select one option.

3-4 years ol 5-6 years old 7-8 years old 9-10 years old

Are there any allergies or special instructions we need to know about?

Child 3 Name

Child 3 Age Group

Please select one option.

3-4 years old 5-6 years old 7-8 years old 9-10 years old

Are there any allergies or special instructions we need to know about?

Child 4 Name

Child 4 Age Group

Please select one option.

3-4 years old 5-6 years old 7-8 years old 9-10 years old

Are there any allergies or special instructions we need to know about?

Payment

1 child ($20.00) 2 children ($30) 3 children ($45) 4 children ($60)

Amount

Description

Please fill out this form and click submit. Make sure to read the waiver as well.

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