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VBS CHILD REGISTRATION FORM
VBS 2025 is for PreK (4 years) - exiting 6th Graders.
JUNE 8TH - 11TH
As you complete the form, please register them under the grade they COMPLETED in May 2025.
*Nursery & 2s/3s childcare will be provided for Fairview Volunteers ONLY.*
Child's First Name
Child's Last Name
Child's Mailing Address
ALLERGIES & MEDICAL CONCERNS
Gender
Female
Male
Birthday
Grade they just completed in May 2025
Primary Parent First & Last Name
Primary Parent phone number
Additional parent or emergency contact first & last name
Additional parent or emergency contact phone number
I give permission to Fairview: The Grace Place to photograph or video my child for promotional material & to document events as needed. These photos or videos may appear on Fairview: The Grace Place's app, website, social medias, and other forms of content.
YES
NO
Primary Parent Signature
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