Mount Zion Baptist Church - VBS 2022 Registration
Dates: June 5th- 9th    Time: Nightly from 5:15 pm- 8 pm  Ages: 3- Adult  (Meal 5:15, March in @ 6 pm)
Sign in to Google to save your progress. Learn more
Email *
Attendee's Name *
Attendee's Date of Birth *
MM
/
DD
/
YYYY
Attendee's Grade (Just Completed) *
Please list allergies and any medical information we should know.
Attendee's T-shirt Size *
Parent/Guardian Name *
Phone Number *
Emergency Contact & Phone Number
Mailing Address *
Street Address (Only if different from Mailing Address)
May we have permission to photograph/video your child for use on our church social media and website? *
Does you child attend church somewhere else?
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Mount Zion Baptist Church. Report Abuse