VBSForm - Zion Lutheran Church

VBS Registration

Walkabout With Jesus Vacation Bible School 2011 July 25-29, 2011 9:00 am-12:00 pm
Please complete a separate form for each child

Child's Name:
Date of Birth:
Last Grade Completed:
Child's T-Shirt Size

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:
On Thursday, July 28th our VBS will be taking a field trip to Critter Country Animal Farm and meet a kangaroo. A parent must accompany child(ren). Bring a bag lunch. We'll leave by school bus at 12:30 pm. Cost is $7 per person. Yes, my child(ren) & I are interested in going.