COME TO "KNIGHTS OF NORTH CASTLE"
WHEN: SUNDAY, JUNE 20 THRU THURSDAY, JUNE 24
5:45 pm to 8:15 pm
WHERE: STAVES MEMORIAL UNITED METHODIST CHURCH
2747 E. MADISON AVE (CORNER OF E. 28TH AND MADISON)
AGE: AGE 3 THRU 6th Grade
(The grade student just completed this year)
MEALS WILL BE PROVIDED EACH NIGHT. THURSDAY, JUNE 24 WILL BE A FAMILY NIGHT.
CALL DEBBIE OR MICKEY WISE @
or
WITH QUESTIONS OR TO PREREGISTER.
**COME EACH NIGHT FOR AN ENTRY FORM TO WIN A DOOR PRIZE THURSDAY**
Detach below MUST FILL OUT ALL INFORMATION
Registration Form
Child’s Name
Parent/Guardian Name
Address + Zip Code
E-mail Address
Phone Numbers Home ______________________ Cell _____________________ Work____________________
Age Information
Date of birth ________________ Age _______ Last school grade completed _______________
Home Church
Allergies/Medical Information/Other
Emergency ContactsName_____________________________________________Phone
Dismissal Information
Name(s) of person(s) who may pick up this child from VBS:
Discussion
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