Please submit this form for each child you wish to register.

Child's Name

First Name

Last Name

Date of Birth

YYYY

Preschool Program

I'm enrolling my child in the preschool program.

Grade Completed

Parent/Guardian's Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Your Relationship to the Child

Photo Use Permission

Are there any special considerations or concerns we should be aware of?

VBS Registration

Open Hearts. Open Minds. Open Doors.