Zion Lutheran Vacation Bible School

Monday, July 7 –Friday, July 11

8:30-11:30 a.m.

Now enrolling :      Age 3 through Grade 4

Grades 5 through adult needed to serve as Friendship Trek Guides

Registration Form:

Child’s Name:

Grade completed:

Birthday:                                                                                Age:

Parents’ names:

Home Address:

Home Phone:

Alternate Phone:

Emergency Contact Person:                                                 Phone:

Relationship to student:

Food Allergies:  Yes_____      No_____         List:

Medical concerns: Yes_____  No_____        Explain:

Siblings attending VBS (names and ages):

Church affiliation:

People who may pick up the child:

_____  I hereby grant the VBS leaders permission to photograph the minor(s) designated above in any manner or form for any lawful purpose associated with this VBS program.