Summer Camp Registration
Child's Name *
Your answer
Birthdate *
MM
/
DD
/
YYYY
Age on June 3rd *
Your answer
Select the grade your child will have completed June 3, 2018 *
During the 2018-2019 school year was your child a student at Zion Lutheran School?
Allergies *
Please list any life threatening allergies or type NA
Your answer
If Allergies are listed is an Epinephrine Auto-injector needed?
Child's T-shirt Size (if attending camp June 10-14)
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