Into The Wild VBS - 2019 Registration

4 yrs thru 5th Grade

Please complete the form below

Child's Name

Required

First Name

Last Name

Grade Completed

Required

T Shirt Size

Required

Child's Name #2

First Name

Last Name

Grade Completed

Required

T Shirt Size

Child's Name #3

First Name

Last Name

Grade Completed

Required

T Shirt Size

Child's Name #4

First Name

Last Name

Grade Completed

Required

T Shirt Size

Parent Information

Parent/Guardian Name

Required

First Name

Last Name

Address

Required

Parent/Guardian Phone Number

Required

(###)

###

####

Emergency Contact Name

Required

Emergency Phone Number

Required

(###)

###

####

Any Medical Concerns

Required (put none if none)

Parent Email for Updates on King's Kids, Youth and VBS

Not Required

I understand I need to come in the first day of VBS to complete registration.

Read Completely Before Checking.

Yes, I will come in the first day I bring my child(ren) to VBS

VBS Registration

Into The Wild VBS - 2019 Registration

Please complete the form below

FBC Anson