VBS Registration Get Ready For Fun! Please enable JavaScript in your browser to complete this form.Name *FirstLastGender *MaleFemaleBirthdate *Grade *SelectKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th GradeAddress *City *State *SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HamphshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingZip *Parent/Guardian *FirstLastPhone *Email *Emergency contact *FirstLastRelationship to child *Emergency contact phone *Who can pick up your child? *Name of home church *Food allergies *YesNoIf yes, list food allergies *Medical concerns *YesNoIf yes, explain medical concerns *Register