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Zelienople-Harmony Lutheran Ministry
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Members and Staff
Contacts and Location
Flower Order Form
Home
Zelienople-Harmony Lutheran Ministry
About Zion
Worship Service Information
Calendar of Events
Newsletter
Sermons
Greeter & Usher Schedule
Programs
Southwest Butler Food Cupboard
Members and Staff
Contacts and Location
Flower Order Form
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ZION LUTHERAN CHURCH
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Home
Zelienople-Harmony Lutheran Ministry
About Zion
Worship Service Information
Calendar of Events
Newsletter
Sermons
Greeter & Usher Schedule
Programs
Southwest Butler Food Cupboard
Members and Staff
Contacts and Location
Flower Order Form
In conjunction with English Lutheran and St Paul Lutheran, Zion will host a 2018 Vacation Bible School on July 23-26 from 9am to noon each day.
Complete the form below and be sure to hit the "Submit" button to email your child's registration form to Zion.
*
Indicates required field
Child's Name
*
First
Last
[object Object]
Age
*
3
4
5
6
7
8
9
10
11
12
children between 3 years old through completion of 5th grade are eligible
Date of Birth
*
Child's T-Shirt Size
*
Child Small
Child Medium
Child Large
Child X-Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Gender
*
Male
Female
Home Congregation
*
Parent/Guardian Name
*
First
Last
Willing to volunteer to help? Choose all that apply
*
Teacher
Aide
Donate Snacks
Donate Craft Suppplies
No Thanks
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Home Phone
*
enter "none" if no home phone
Cell Phone
*
enter "none" if no cell phone
Email
*
Emergency Contact Name (other than parent/guardian)
*
First
Last
Phone Number
*
Name of person picking-up child each day
*
First
Last
Phone Number
*
List any allergies or medical needs that the child has
*
List anything special you'd like us to know about your child
*
Submit