Participant Sign Up If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required Child's first and last name: * Grade entering 2017-2018 school year: * Parent's first and last name: * Parent's e-mail address: * Parent's cell phone: * Emergency contact's first and last name: Emergency contact's phone number: Child's allergies: * Are you a member of Northview? If not, who invited you, or how did you find out about our VBS program? *