VBS Registration Form - Knights of the North (June 6-9; 9am-12pm)
Parent First Name
*
Parent Last Name
*
Mobile Number
*
Email Address
Mailing Address
Mailing City
Mailing State
Home Zip Code
Child's Name
*
Child's Date of Birth
*
Last Grade Completed
*
Any special health concerns: (allergies, restricted activities, medications, etc.)
Emegency Contacts:
*
Tip: Please list name(s) & contact information
Who will be picking child up from VBS?
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