MEGA SPORTS CAMP TEAM SPIRIT
COME JOIN US AS WE ENJOY MUSIC, GAMES, STORYTELLING & CRAFTS!
June 17-21
6 p.m. – 8:15 p.m.
VBS is offered to 3 year old through 5th grade
Register now for the fun in June!
(contact Shawn Rogers for more information 484-433-6719)
2019 VACATION BIBLE SCHOOL REGISTRATION
Zion Lutheran Church
39 Bonnie Brae Road, Spring City, PA 19475
church@zionofspringcity.org
Child’s name _____________________________________________________________
Grade completed ___________ Birthday _______________________ Age ____________
Parents’ names ____________________________________________________________
Home address ____________________________________________________________
Home phone ___________________________ Alternate phone ____________________
Emergency contact person ________________Relationship to student ________________
Home phone ________________________ Alternate phone _______________________
Food allergies: Y N (list) _________________________________________________
Medical concerns: Y N (explain) ___________________________________________
Family doctor ___________________________Doctor’s phone _____________________
Siblings attending VBS (names & ages) __________________________________________
Church affiliation _______________Church membership at __________________________
People who may pick up the child ______________________________________________
VBS leaders have permission to photograph/film the minor(s) designated above in any manner or form for any lawful purpose associated with this VBS program
.
Permission to treat with the following: ____ Tylenol ____ Benadryl ____ Advil ____ Antacid
Parent’s signature __________________________________________________________
Participants will be given a camp T-Shirt
Requested Child’s Shirt Size: YXS, YS, YM, YL, YXL (please circle one)
(size not guaranteed, but we will endeavor to fill your request)
Please Note:
Due to the number of water activities the children will be participating in during VBS,
we are asking you to send an extra T-Shirt along, in a Ziploc bag marked with your child’s name. This way, if they get wet and are uncomfortable, we will have another shirt available
for them to change into. Thank you!
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