Zionsville Fellowship VBS Online Registration Form

Kindergarten - Grade 5

at Zionsville Fellowship

June 16-20, 2008

If you are able to contribute, we will be collecting the following items for Neighborhood Fellowship, our sister church in downtown Indianpolis.

Monday     Granola or Breakfast Bars
Tuesday     Peanut Butter/Cheese Crackers
Wednesday     Pudding Cups
Thursday     Fruit Cups
Friday     Canned Tuna

Please enter all applicable information, paying special attention to the emergency contact and allergy fields.

Childs Name:   Male Female

Grade Entering in School (Fall 2008):
 
City:     State:     Zip Code:
 
Parents Names:
 
Home Phone:      Work Phone:
 
Email:
 
Childs Birthdate:
 
Church Affiliation:
 
Emergency Contact Name & Phone No.:
 
Doctor's Name & Phone No.:
 
Allergies/Other Conditions/Comments:
 
School Child Attends:
 
T-Shirt Size: Small (6-8) Medium (10-12) Large (14-16)