VBS 2025 Registration Number of ChildrenUp to seven (7) can be registered at the same timeHow Many Children are You Registering?Parent/Guardian Contact InfoParent/Guardian First NameParent/Guardian Last NamePhone *Email AddressStreet Address *Apartment, suite, etcCityState/ProvinceZIP / Postal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre & MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweEmergency ContactsPermission InfoDismissal InformationPhotography ReleaseMay we have permission to use your child's photograph for the purpose of promotion?Child InfoChild's Name *Child's Birth Date *GenderChooseBoyGirlGrade in School (This Next Year) *Choose GradeKindergartenFirst GradeSecond GradeThird GradeFourth GradeFifth GradeSixth GradeMedical InformationOther InformationSecond ChildSecond Child's Name *Second Child's Birth Date *GenderChooseBoyGirlGrade in School (This Next Year) *Choose GradeKindergartenFirst GradeSecond GradeThird GradeFourth GradeFifth GradeSixth GradeMedical InformationOther InformationThird ChildThird Child's Name *Third Child's Birth Date *GenderChooseBoyGirlGrade in School (This Next Year) *Choose GradeKindergartenFirst GradeSecond GradeThird GradeFourth GradeFifth GradeSixth GradeMedical InformationOther InformationFourth ChildFourth Child's Name *Fourth Child's Birth Date *GenderChooseBoyGirlGrade in School (This Next Year) *Choose GradeKindergartenFirst GradeSecond GradeThird GradeFourth GradeFifth GradeSixth GradeMedical InformationOther InformationFifth ChildFifth Child's Name *Fifth Child's Birth Date *GenderChooseBoyGirlGrade in School (This Next Year) *Choose GradeKindergartenFirst GradeSecond GradeThird GradeFourth GradeFifth GradeSixth GradeMedical InformationOther InformationSixth ChildSixth Child's Name *Sixth Child's Birth Date *GenderChooseBoyGirlGrade in School (This Next Year) *Choose GradeKindergartenFirst GradeSecond GradeThird GradeFourth GradeFifth GradeSixth GradeMedical InformationOther InformationSeventh ChildSeventh Child's Name *Seventh Child's Birth Date *GenderChooseBoyGirlGrade in School (This Next Year) *Choose GradeKindergartenFirst GradeSecond GradeThird GradeFourth GradeFifth GradeSixth GradeMedical InformationOther InformationSend MessagePlease do not fill in this field.
