VBS 2018 Child Registration

If you have completed a VBS form last year and/or King's Kids Information sheet this year with none of the information having changed, please complete only the top boxes for each child. Parent and Guardian information not needed if already have been completed in the past.

First and Last Name of Child #1

Grade Completed for Child #1

Date of Birth - Child #1

Special Needs/Allergies - Child #1

First and Last Name of Child #2

Grade Completed for Child #2

Date of Birth - Child #2

Special Needs/Allergies - Child #2

First and Last Name of Child #3

Grade Completed for Child #3

Date of Birth - Child #3

Special Needs/Allergies - Child #3

Parents/Guardians contact info:

Parents/Guardians - First and Last Names

Street Address

City

State

Zip Code

Home Phone Number/Cell Phone

Email Address

Emergency Contact Name and Number

Additional Information

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