2023 Zion Lutheran Vacation Bible School Registration
This registration form registers your child/ren for VBS at Zion Lutheran Church in Kewanee, IL on July 23-27 (Sun-Thurs) from 6pm-8pm.  All information in this form will be kept confidential. 

By clicking submit on the last page, you are informing us that all the information you have provided is correct, and that you give permission for VBS leaders and Zion Lutheran to photograph/film the child/ren registered in any manner or form for any lawful purpose associated with the VBS program  (i.e. pictures during the event for publicity of the event, and for the next VBS).

This VBS is free and open to all youth in grades Pre-K through 6th.  If you would like to volunteer, please indicate that below (or if you have other children that would like to volunteer).  Please note -  there is a meal to be served from 5:30pm-6pm - however VBS DOES NOT START until 6pm!

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Email *
Parent/Guardian Names *
Name, last completed grade in school, and age of youth attending   (for example:  Liz Ahles-Iverson, First, 7)  Please separate students by a comma. *
T-shirt size for all participants (including volunteers - please list their name & size - ie. Liz, Youth Medium, Ken 2xl) *
Home Address *
Mailing Address (if different)
Cell Phone (Parent/s-please list whose number it is) *
Cell Phone (Youth)
Food Allergies *
Yes or No - if yes - please explain
Medical Concerns                                                                          Yes or No - if yes - please explain *
Emergency Contact Person, Phone number & relationship            (please use someone other than a parent listed above)
Church membership at:   *
By checking here I give my permission to ZIon Lutheran and VBS leaders to photogrpah/film the minor designated above in any manner or form for any lawful purpose associated with this VBS program. *
Would you be willing to volunteer to help with VBS this year? *
Submit
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