Register A Kid

  • Name of parent who serves in the military*
  • Email Address*
  • Address*
  • Child's Name*
  • Grade Level*
    Preschool and Infant are also acceptable if the child is not of school age yet.
  • Child's BirthDate*
  • Hospital or VA currently assigned to*
  • Reason for Hospitalization*
  • Branch of Service*
    For Reservist or National Guard please select the main branch association.
  • Pay Grade*
  • Years of Service/Number of Deployments*
  • Estimated length of hospitalization*
  • Favorites:*
    Please tell us your child's things. Ex: color, food, books, characters, music, sports teams.
  • Hobbies and Special Interests:*
  • I'm interested in signing up for*
  • I would like to register 1 or more additional siblings*
    If 'yes' we will be contacting you via email to get each child's personal info. You do not have to re-do this form over again.
  • Security Code*