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Registration Zion Lutheran VBS - July 15-17, 2024
Please fill out this form as completely as possible! Thank you!
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Email
*
Your email
Child's Name
*
Your answer
Gender
*
Male
Female
Age
Your answer
Date of Birth
*
Your answer
Last Grade Completed
*
PreK
Kindergarten
First
Second
Third
Fourth
Fifth
Other:
T-Shirt Size
*
Youth XS
Youth S
Youth M
Youth L
Youth XL
Adult S
Adult M
Adult L
Other:
Siblings Attending VBS
Your answer
Parent Name
*
Your answer
Address
*
Your answer
Phone #
*
Your answer
2nd Phone #
Your answer
Home Church
Your answer
Allergies, Medical Conditions or Special Needs
Your answer
Emergency Contact
*
Your answer
Emergency Contact Phone #
*
Your answer
Relationship to Child
*
Your answer
Permission: Vacation Bible School (VBS) leaders have permission to photograph/film the minor designated on this form for any lawful purpose associated with this VBS program.
*
Choose
Yes, I (parent) give permission for photos/film as stated above.
No, I (parent) do NOT give permission for photos/film as stated above.
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