VBS Registration

Wonder Junction 2025 VBS Registration

* Indicates required field

Child Name *

First

Last

Grade Entering *

Child Birthday *

Gender *

Boy Girl

Any Allergies or Medical Concerns? *

Parent/Guardian Name *

First

Last

Phone Number *

Emergency Contact *

First

Last

Emergency Contact Phone Number *

Emergency Contact Relationship to Child *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Additional Comments/Information: *

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