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Zion Lutheran Church
O Master Let Me Walk With Thee
VBS Registration
Please complete a separate form for each child
Child's Name:
Date of Birth:
Last Grade Completed:
Parent/Guardian Name:
Address:
City/State/Zip:

Home Church:
Does your child have any allergies (please list):
Emergency Contact (list name, contact info, relationship to child):
I would like to volunteer to help at VBS:







Email:
Home Phone:
Cell Phone:
Work Phone:
  



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