Kids Talk Birthday Club

Hey Kids, Welcome to the VCY Birthday Club! To sign up, just fill out the form below. We'll send you a birthday card and special surprise each year until your 12th Birthday. You need your parent's permission to join, so be sure to give us your mom or dad's name and e-mail so we can make sure it's ok with them. Please know we must receive your registration a minimum of 60 days in advance of your birthday.
First Name *
Last Name *
Street Address *
City *
State / Province / Region
Postal / Zip Code *
Country *
Email *
Parent's Name *
Parent's Email *
Birthday * (mm/dd/yyyy)	/

* required field