VBS Registration Form
Knights of North Castle: Quest for the King’s Armor!
Knight’s Name ________________________________________________________________
Date of Knight’s Birth ____________________ Age of Knight _______
Knight’s last school grade completed _____________________
Any Friends of the Knight that may be attending: _____________________________________
Knight’s Home Church (if any) ____________________________________________________
Knight’s Special Needs/Allergies/Medical Information/Other: ________________________
____________________________________________________________________________
____________________________________________________________________________
Parent/Family/Guardian Name ___________________________________________________
Address _____________________________________________________________________
Please include mailing address ie 709 West Knoxville Road Staunton, Il 62088
Email Address _____ __________________________________________________________
Phone Numbers: Home ________________ Cell _________________ Work _____________
EMERGENCY CONTACTS
Name __________________________________________ Phone _______________________
Name __________________________________________ Phone _______________________
Name(s) of person(s) who may pick up this child/Knight from VBS _______________________
____________________________________________________________________________
PHOTO RELEASE: First United Methodist Church of Staunton 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.
Parent/Guardian’s Signature ________________________________________Date _______