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Enroll for VBS
Children's Music Academy Enrollment
Children Information
*
1st Child's Full Name
*
Current Grade/Age
select one
4 Years
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
*
T-shirt Size
select one
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
2nd Child's Full Name
Current Grade/Age
select one
4 Years
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
T-shirt Size
select one
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
3rd Child's Full Name
Current Grade/Age
select one
4 Years
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
T-shirt Size
select one
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Parent's Information
*
Parent's Email
*
1st Parent's Full Name
*
Cell Phone (include Area Code)
*
2nd Parent's Full Name
*
Cell Phone (include Area Code)
Address Information
*
Address
*
City
*
State
*
Zip Code
Additional Information
*
Any Allergies/Medical Conditions (Specify child if enrolling more than one)
*
Who may pick up your child? (no more than 4 names please)
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