2019 Vacation Bible School Registration
Zion Lutheran Church and The Mill Church
July 14-17!! 5:30-8:00 PM. Ages potty trained through those who will have completed 5th grade. Register by June 16 to receive a FREE Roar CD for you and your family! Early registrants, i.e., by June 16, will also receive a t-shirt ($5 suggested donation).
Email address *
Your answer
Children's names, ages, and grades completed *
Your answer
Special needs, allergies, and other concerns
Your answer
Name of Parent (Guardian) *
Your answer
Phone Number
Your answer
Address
Your answer
Emergency Contact and Phone Number *
Your answer
I give my child(ren) named above permission to attend VBS at Zion Lutheran Church and participate in all activities involved with VBS. I will not hold Zion Lutheran Church, The Mill Church, or VBS leaders liable for any injuries my child may receive while participating in VBS activities. I give permission to VBS leaders to provide medical treatment to my child if they are unable to reach me in an emergency situation. I also realize that my child may be in photographs or videos taken during the VBS week. I waive the right to inspect or approve the photo or video if used for publications or publicity. *
Each evening will begin with supper for all children, families, leaders, etc. at 5:30. The Sunday meal is a potluck. More info to follow. How many will attend supper each night?
Your answer
New this year! T-shirts for attendees! Suggested donation of $5 per shirt. Guaranteed t-shirt and size ONLY if ordered by June 16.
Additional t-shirt
Additional t-shirt
Additional t-shirt
Additional t-shirt
Additional t-shirt
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