2019 VBS Registration for Zion Lutheran Church
Please have your child wear socks and close toed shoes for the week.
Parent's Name First *
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Parent's Name Last *
Your answer
Address *
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Phone Number *
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Cell Phone *
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E-Mail *
Your answer
Alternate Contact Name *
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Alternate Contact Phone *
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Child's Name 1 First *
Your answer
Child's Name 1 Last *
Your answer
Birthday *
MM
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DD
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YYYY
Grade - 2019-2020 (Grade your child is GOING into) *
Child's Name 2 First
Your answer
Child's Name 2 Last
Your answer
Birthday
MM
/
DD
/
YYYY
Grade 2019-2020 (Grade your child is GOING into)
Child's Name 3 First
Your answer
Child's Name 3 Last
Your answer
Birthday
MM
/
DD
/
YYYY
Grade 2019-2020 (Grade your child is GOING into)
Child's Name 4 First
Your answer
Child's Name 4 Last
Your answer
Birthday
MM
/
DD
/
YYYY
Grade 2019-2020 (Grade your child is GOING into)
I would like to help with VBS by: *
Required
Please let us know of any allergies or special needs
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