Bellefield VBS Registration
1
Please Tell Us Your Names
Child's gender
male
female
2
Age and Grade
How old is the child being registered?
4
5
6
7
8
9
10
11
12
What grade level will the child enter at school this autumn?
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
3
Contact Information
Alternate Pickup Person's Name
Alternate Pickup Person's Phone Number
Another Alternate Pickup Person's Name
Another Alternate Pickup Person's Phone Number
4
Additional Info
Child's Shirt Size:
Small
Medium
Large
XL
Small
Medium
Large
XL