Zion Baptist Church
Wednesday, January 17, 2018
 
Ages: MUST have Finished Kindergarten through Finished 7th Grade
 
Please submit a registration form below or download one here
 and email it to zion@zbcga.org once completed. Please complete one per child.
 
 
Registration Form

(Please submit one per child.)

 Child’s Name 

 

Parent/Guardian Name

 

Address 

                                                   (street address, city, state, and zip code)

 Mailing Address   (if different)

 

Phone Numbers

Home     Work    Cell 

 

Email

 

Age Information

Birth date            Last grade completed in school  

 

Medical Information

Medical or other information we need to know. (Please include any food allergies.)

 

 Please feel free to call the church office at 770-786-6767 after submitting registration with any further

medical information you feel we may need and we will note it on the submitted registration form.

 

Emergency Contacts (other than listed above)

 

Name   Phone number 

 

Name   Phone number 

 

Dismissal Information

Who may pick up your child at the end of each VBS day?

 

  

Other Information

Does your child attend Sunday School? If so where?

 

  

If your child is visiting our church, who is he a guest of?

 

 

May we have permission to photograph your child?  Yes    No

 

May we have permission to use your child’s photograph for the purpose of promotion?  Yes   No

 

 

                                                 

 

 Registration Form • Administrative Guide CD-ROM - LIfeway, VBS 2016