2018-2019 Marlboro Online Registration Form
If your child registered for VBS June 2018 and your contact information has not changed, you do not need to complete this form again.
Email address *
Parent's Name (First and Last) *
Your answer
Street Address *
Your answer
City, State, Zip *
Your answer
Main phone (Home or Cell) *
Your answer
Emergency Contact Information (Name & Number) *
Your answer
Child's Name (First and Last) *
Your answer
Birthday
Your answer
Allergies *
Your answer
Age Group (GRADE AS OF FALL 2018) *
Child #2 Name (First and Last)
Your answer
Child #2 Birthday
Your answer
Child #2 Allergies
Your answer
Age Group (GRADE AS OF FALL 2018)
Child #3 Name (First and Last)
Your answer
Child #3 Birthday
Your answer
Child #3 Allergies
Your answer
Age Group (GRADE AS OF FALL 2018)
Please select if you DO NOT want your child(ren)'s pictures used in media and promotion.
A copy of your responses will be emailed to the address you provided.
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