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Virginia Beach Parks & Rec

fun@vbgov.com

(757) 385-1100

RISE Summer Enrichment Program Interest Form

Thank you for your interest in our RISE 2024 Summer Enrichment Program. Please complete the form below if you meet the eligibility requirements and are interested in enrolling. A member of our OST Registration Management Team will follow up with you in 24-48 hours. Visit childcarevb.com for more information.

Parent/Legal Guardian First & Last Name

Parent/Legal Guardian Date of Birth

Date Picker

Full Address

Child’s First & Last Name

Child’s Date of Birth (Month, Day & Year)

Select your child’s current grade (if their grade is not reflected below, they are not eligible for enrollment):

Select the program location you are interested in enrolling your child (you may select more than one)