Zion & St. John's VBS Registration

JUNE 23 -26 NOON - 2:45PM

ST. JOHN’S SALEMVILLE
N483 COUNTY RD M
CAMBRIA, WI

PRE K – 6TH GRADE

LUNCH WILL BE SERVED

BIBLE STORIES, CRAFTS, MUSIC & FUN!

Number of VBS Students

Number of Students to Register

*

Please select one option.

1 2 3 4

Your Information

Your Name : Person Completing Form

*

Your Email

This address will receive a confirmation email

Your Best Phone #

*

Your Home Address

*

Contact Me : I can help by :

Please select all that apply.

Teaching or Supervising Providing Lunch & Food Items

Student Names

Student Name 1

*

Student Name 2

Student Name 3

Student Name 4

Grades Just Completed

Please mark grades for all children registered!
You may select more than one box if needed.

Grades Just Completed

*

Please select all that apply.

Pre-K K 1 2 3 4 5 6

Medical Needs & Assistance

If Food Allergy Explain & List Name

If Any Other Medical Needs Explain & List Name

Any Other Comments

ACKNOWLEDGMENT: By submitting this form, I represent a parent or guardian has provided the permission for these children to participate in Vacation Bible School activities hosted by Zion & St. John's Lutheran Church.

Submit your registration now for VBS!

Description

JUNE 23 -26 NOON - 2:45PM

ST. JOHN’S SALEMVILLE
N483 COUNTY RD M
CAMBRIA, WI

PRE K – 6TH GRADE

LUNCH WILL BE SERVED

BIBLE STORIES, CRAFTS, MUSIC & FUN!

Please Fix the Following

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