Identity: The Youth Takeover

Please fill out the form below to register your child(ren) to participate in the "Identity: Youth Takeover" service on October 29th.

Need more information? Contact youth@kbcc.tv. 

 

Parent's Name *
Parent's Name
Best Contact Number *
Best Contact Number
Emergency Contact's Name *
Emergency Contact's Name
Emergency Contact's Phone Number *
Emergency Contact's Phone Number
Child #1's Name *
Child #1's Name
Child #2's Name
Child #2's Name
Child #3's Name
Child #3's Name