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Zion Vacation Bible School Registration
Please fill this out before June 9! One form per child please! Dates are Monday, June 19-Thursday, June 22, 2023!
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* Indicates required question
Child's Name
*
Your answer
Grade child just completed
*
Your answer
Child's Birthdate
*
MM
/
DD
/
YYYY
Parents Name
*
Your answer
Home Address
*
Your answer
Phone Number (where we can reach your from 6-8 pm)
*
Your answer
Second Phone Number
*
Your answer
Emergency Contact Person and Phone Number
*
Your answer
Food Allergies (if yes, please list. If none, please write None.)
*
Your answer
Medical Concerns (if yes, please explain. If none, please write None.)
*
Your answer
Family Doctor and Phone number
*
Your answer
Siblings attending VBS (Names and ages)
*
Your answer
Church you are a member at (if you have no Home Church and would like to know more about Zion, please comment here.)
*
Your answer
People who may pick up your child
*
Your answer
VBS Leaders have permission to photograph/film the minor designated above in any manner or form for any lawful purpose associated with the VBS program. (IE: during our Live Stream and recording of Sunday Service and on our Private Facebook Group)
*
Yes
No
Permission to treat with the following
*
Tylenol
Benadryl
Advil
Antacid
Required
Child's Shirt Size (size not guaranteed, but we will endeavor to fill your request)
*
YXS
YS
YM
YL
YXL
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