Surf Shack VBS Registration Form

Knights of North Castle
June 20th thru June 24th, 2021
6:00PM - 7:30PM

Registration Form

Items marked with an * are required

* Indicates required field

Child's Name *

First

Last

Paren/Guardian Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Home Phone Number *

Child's Birthdate *

Cell Phone Number *

Child's Age *

Work Phone Number *

Last Grade Completed in School *

Home Church *

Medical or other information we need to know. (Please include any food allergies.) *

Emergency Contacts

Name 1 *

First

Last

Phone Number *

Name 2 *

First

Last

Who may pick up your child at the end of each VBS session? *

First

Last

Phone Number *

Photography Permissions

Choose One *

My child has permission to have their picture taken for both the craft project and to use any pictures taken for publication on the church's web pages. My child has permission to have their picture taken for the craft project ONLY. My child does not have permission to have their picture taken.

Name of Parent/Guardian completing this form *

First

Last

You will receive an e-mail indicating that the form was submitted successfully.

Parent/Guardian Email *

Submit

Knights of North CastleJune 20th thru June 24th, 20216:00PM - 7:30PMRegistration Form

Items marked with an ﻿﻿*﻿﻿ are required

Emergency Contacts

Photography Permissions

Knights of North Castle
June 20th thru June 24th, 2021
6:00PM - 7:30PM

Registration Form

Items marked with an * are required