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)
3 year old to Pre-Kindergarten
Camp week selection
Age 3 to completion of First Grade: June 7th-11th from 9-11:30 a.m.
2nd-8th grade (Completed): June 14th-18th from 9-3 p.m.
Name of Parent(s)
Birth date of Child
Parent cellphone number
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?
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