Vacation Bible School Registration 

Child's Name (one form per child) *
Child's Name (one form per child)
Birthday *
Parent's Name(s) *
Parent's Name(s)
Address *
Emergency Contact Person *
Emergency Contact Person
Food Allergies *
Medical Concerns *
Family Doctor *
Family Doctor
Member of Mt. Zion *
Transportation Needed *
Vacation Bible School (VBS) leaders have permission to photograph/film the minor(s) designated above for any lawful purpose associated with this VBS program *