Kenmore UMC VBS Registration
The Knights of North Castle
Child's Name: *
Parent/Guardian Name: *
Child's Address: *
Email Address:
Phone Number: *
Child's Date of Birth: *
Age: *
Last school grade completed: *
Home Church (if any):
Friends of your child at this church:
Special Needs/Allergies/Medical Information (please type N/A if not applicable): *
Emergency Contact #1 (Name and Phone Number): *
Emergency Contact #2 (Name and Phone Number): *
Name(s) of person(s) who may pick up this child from VBS: *
Photo Release: Kenmore UMC/VBS has my permission to use my child's photograph publicly in VBS materials. I understand the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee, or other compensation shall become payable to me by reason of such use. By typing my name in the box below I agree to the above statement.
Parent Signature: *
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