2025 VBS King of Kings: Registration Form

Child's Information *

First Name

Last Name

Date Of Birth *

MM

DD

YYYY

Child’s Gender: *

Male

Female

Name of Parent(s)

First Name

Last Name

Cell Phone *

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Are parent(s) helping with VBS? *

Yes

No

Type Today's Date *

MM

DD

YYYY

In Case of Emergency, Please Contact *

First Name

Last Name

Phone *

(###)

###

####