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!