2019 VBS Registration for Zion Lutheran Church

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Please have your child wear socks and close toed shoes for the week.

Parent's Name First *

Parent's Name Last *

Address *

Phone Number *

Cell Phone *

E-Mail *

Alternate Contact Name *

Alternate Contact Phone *

Child's Name 1 First *

Child's Name 1 Last *

Birthday *

YYYY

Grade - 2019-2020 (Grade your child is GOING into) *

Child's Name 2 First

Child's Name 2 Last

Birthday

YYYY

Grade 2019-2020 (Grade your child is GOING into)

Child's Name 3 First

Child's Name 3 Last

Birthday

YYYY

Grade 2019-2020 (Grade your child is GOING into)

Child's Name 4 First

Child's Name 4 Last

Birthday

YYYY

Grade 2019-2020 (Grade your child is GOING into)

I would like to help with VBS by: *

Working with Kids

Working in the Kitchen

Donating Food

Donating Money

Not at this Time

Required

Please let us know of any allergies or special needs

Submit

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