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VBS 2024 - Kids registration,
Registración para niños
Please submit one form per child. Thank you! We can't wait to see you there!
Por favor entregar una forma por cada niño. ¡Gracias! ¡Los esperamos!
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* Indicates required question
Parent/Guardian Name,
Nombre del padre/guardián de la familia
*
Your answer
Address,
Dirección
*
Your answer
State,
Estado
*
Your answer
Zip code,
Código postal
*
Your answer
Cell phone number,
Número de teléfono
*
Your answer
Email,
Correo electrónico
*
Your answer
Medical Authorization in case of emergency
Autorización médica en caso de una emergencia
*
Yes, Sí
No
Emergency Contact Name
Nombre de contacto de emergencia
*
Your answer
Emergency Contact Phone Number
Número de teléfono del contacto de emergencia
*
Your answer
Authorized Pickup #1
Persona que puede recoger al niño #1
*
Your answer
Authorized Pickup #2
Persona que puede recoger al niño #2
Your answer
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