Proclaiming the Gospel to make disciples of Jesus Christ in the power of the Spirit to the glory of God from north Iowa to the ends of the earth

VBS Registration

Child's Name(required)

Child's Birth Date(required)

Completed School Grade

Parent/Guardian Name(required)

Cell Phone(required)

Email

Address(required)

Emergency Contact(required)

Phone for Emergency Contact(required)

Relationship to Child(required)

Allergies/Medical Information: allergies, dietary needs, medications?

I agree to bring all medication to Day Camp Director in original containers.(required)

I give my permission for my child to participate in Zion Evangelical & Reformed Church's VBS. I will not hold them responsible.(required)

How did you hear about Zion's VBS?

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