2022 Zion Vacation Bible School Registration
One form per child.
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Child's First Name *
Child's Last Name *
Child's Date of Birth *
MM
/
DD
/
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Child's Age *
Last School Grade Completed *
Name of Parent(s) *
Street Address *
City, State, Zip *
Home Phone Number *
Parent/Caregiver Cell Phone Number *
Email Address *
Home Church *
Allergies or Medical Conditions *
Emergency Contact Name *
Emergency Contact Phone Number *
Emergency Contact Relationship *
Permission for photos on social media (no names will be included on posts) *
Shirt Size *
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