2025 Vacation Bible School Registration

July 7-11, 9-12pm
Children 4 years old through 6th grade
Dedline for registration is June 30

Parent's Name

First Name

Last Name

Phone

(###)

###

####

Home Church

How did you hear about our VBS?

Emergency Contact Name

First Name

Last Name

Emergency Contact Relationship

Emergency Contact Phone Number

(###)

###

####

Names of People Who May Pick Child Up from VBS

Permission for child/children to be photographed or filmed to appear on social media

Yes

Child 1 Name

First Name

Last Name

Child 1 Birthdate

YYYY

Child 1 Last Grade Completed

Pre-K through 6th Grade

Child 1 Food Allergies or Special Needs

Child 2 Name

First Name

Last Name

Child 2 Birthdate

YYYY

Child 2 Last Grade Completed

Pre-K through 6th Grade

Child 2 Food Allergies or Special Needs

Child 3 Name

First Name

Last Name

Child 3 Birthdate

YYYY

Child 3 Last Grade Completed

Pre-K through 6th Grade

Child 3 Food Allergies or Special Needs

Child 4 Name

First Name

Last Name

Child 4 Birth Date

YYYY

Child 4 Last Grade Completed

Pre-K through 6th Grade

Child 4 Food Allergies or Special Needs

Child 5 Name

First Name

Last Name

Child 5 Birthdate

YYYY

Child 5 Last Grade Completed

Pre-K through 6th Grade

Child 5 Food Allergies or Special Needs

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Zion Presbyterian Church

Shiloh Presbyterian Church (OPC)

2025 Vacation Bible School Registration

Sunday worship: 9:30 AM and 5:30 PM