2018 VBS Signup Online 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

Age *

Date of Birth *

Child's T-Shirt Size *

Gender *

Home Congregation *

Parent/Guardian Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Home Phone *

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

557 Perry highway, Harmony Pa. 16037

724-452-8886

zion557@zoominternet.net