Kenmore UMC VBS Registration
The Knights of North Castle
Sign in to Google to save your progress. Learn more
Child's Name: *
Parent/Guardian Name: *
Child's Address: *
Email Address:
Phone Number: *
Child's Date of Birth: *
MM
/
DD
/
YYYY
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: *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms