VBS 2022 Kids Sign-Up VBS 2022 Sign Up Form -Food Truck Party, "On A Roll With God"Child's NameFirst Name *Last Name *Birthdate *Please enter full year numberAge *Grade Completed (Up to 4th Grade) *Parent / GuardianFirst and Last Name *Street Address *City *State *Zip Code *Cell Phone *Email Address *Emergency ContactFirst and Last Name *Emergency Contact Phone *Who is picking up child / children? *Special Needs / Allergies / Concerns VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank: