2021 VBS/Music Camp Enrollment Form - Zion Lutheran, Omaha
Two separate camps for different ages:
For children ages 3-completed First Grade: June 7th-11th from 9-11:30 a.m.
For children who completed 2nd-8th grade: June 14th-18th from 9-3 p.m. (lunch provided)

Name of Child *
Age / Grade (2020-2021 School Year) *
Camp week selection *
Name of Parent(s) *
Birth date of Child *
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/
DD
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Parent cellphone number *
Email address *
Mailing Address
Please list any allergies your child has
What is the name of your home church?
Emergency Contact Name
Emergency Contact Phone Number
Do you consent to allow photographs of your child to be used by Zion for non-commercial purposes?
Clear selection
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