SPLASH VBS-Student Registration Form
SPLASH VBS
Zion Congregational Church
June 2-6, 2025
9:00am-11:45am
*Must be 4 years old by June 1, 2025
*PRE-REGISTRATION REQUIRED
$15 Registration Fee per Child (includes a t-shirt)
Register by May 18, 2025 to Guarantee a Shirt
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First Name *
Last Name *
Age *
Must be at least 4 years old by June 1, 2025
Grade (Current) *
Gender *
Allergies
Shirt Size *
Will your child be at the VBS Program on Sunday, June 8 at 10:00am? *
Parent's Name *
Phone Number *
Email *
Emergency Contact Name *
In case parents can't be reached
Emergency Contact Phone Number *
Emergency Contact Relationship to Child *
Additional Information
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