Text Box: Register 
me for 
Text Box: 2009
VBS

Student Enrollment Form

Student’s Name________________________________________________________

School grade just completed _________     Birth date______________ Age________

                                                                                                    month-day-year

Parents’ Names _______________________________________________________

Address _____________________________________________________________  

Text Box: Zion Lutheran Church, Mt. Pulaski
Vacation Bible School
July 20-24, 2009
9:00 – 11:30 a.m.
For children age 3 to those entering sixth grade
Home Phone _________________________    Alternate Phone _________________

Emergency contact _____________________________________________________

Relationship to student __________________________________________________

Phone _______________________________    Alternate Phone__________________

Food allergies   Y    N   List:_________________________________________________

Medical concerns Y    N   Explain:____________________________________________

Brothers and sisters attending VBS (names and ages) _____________________________

________________________________________________________________________

______   I can provide transportation for ____ children       

______   I need transportation for my child

Family church _________________________________________________________

Brought by____________________________________________________________

  


 

Discover that God’s Always Doing Great, Exciting Things!

V V V V V V V

Teacher/Helper Enrollment Form

Name___________________________________________________________________________________________

Address _________________________________________________________________________________________

Phone Number ___________________________________________________________________________________

E-mail address ___________________________________________________________________________________

                _______ I would like to serve as a teacher.     _________ I would like to serve as a helper.

                Please indicate any position with which you would be willing to help.

                Religion teacher 5th/6th __________             Teacher Kdgn. ____________         Art teacher___________________

                Religion teacher 3rd/4th __________             Teacher 4 year olds ________         Recreation teacher ____________

                Religion teacher 1st/2nd __________             Teacher 3 year olds ________         Food preparation _____________

 

I can’t help or teach but would like to donate refreshments:  (please circle)

Fruit                     Veggies                  Cookies               Cheese             Crackers           Juice/Kool-Aid