VBS 2023 – Registration - Katy church of Christ

Parent #1 First Name *

Parent #1 Last Name *

Parent #1 Email

Parent #1 Phone

Parent #2 First Name

Parent #2 Last Name

Parent #2 Email

Parent #2 Phone

Are you a member or visitor? *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Child #1 First Name *

Child #1 Last Name *

-- Child #1 - Last grade completed *

Child #2 First Name

Child #2 Last Name

-- Child #2 - Last grade completed

Child #3 First Name

Child #3 Last Name

-- Child #3 - Last grade completed

Child #4 First Name

Child #4 Last Name

-- Child #4 - Last grade completed

Child #5 First Name

Child #5 Last Name

-- Child #5 - Last grade completed

Child #6 First Name

Child #6 Last Name

-- Child #6 - Last grade completed

Special Notes

Do you have any allergies, dietary restrictions or other information that we should know about?