Zion Evangelical & Reformed Church
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
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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)
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