2021 VBS Registration

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Zion Hill Baptist Church VBS 2021
Sunday, June 13th - Friday, June 18th 6:30PM- 9PM
Classes for all ages, babies to adults!
Supper every night!

Child's Name *

Age *

Grade in the Fall

Street Address *

City/State/Zip *

Parents/Guardians Names *

Phone #1 *

Phone #2 *

Emergency Contact Name *

Emergency Contact Phone *

Allergies/Medical Concerns:

Does your child need transportation to and/or from VBS? *

Yes, to VBS only

Yes, from VBS only

Yes, to and from VBS

I release Zion Hill Baptist Church from responsibility for accidents during church-sponsored activities. In case of emergency, I, the parent/legal guardian of the above-mentioned minor, give permission to Zion Hill Baptist Church to secure proper treatment for the health and comfort of my child until I can be reached. I give permission to photograph my child for any lawful purpose, including newspaper articles, church publications, and the church website. I have read and understand the above. *

Yes

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