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 @ 515-360-2840 or 515-419-4395 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: