Registration Form

Zion Vacation Bible School—2021
Sponsored by Zion Episcopal Church

WHO: All children ages 4-12

WHAT: Bible stories, science, arts and crafts, music, games (snacks provided)

WHEN: August 16-20, 2021, Monday—Friday, 9:00 a.m. to 12 noon

WHERE: Zion Episcopal Church, Parish Hall, 12 Satterlee Place, Wappingers Falls, NY

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REGISTRATION FORM

Parent(s) Name _________________________________________
Church Affiliation (if any___________________________________
Address _______________________________________________
Phone ________________________________________________
2nd Phone Contact ______________________________________

(Please circle grade entering this Fall for each child.)
“Pre-K” (has attended nursery school, but still has another year)
“K” (will be entering kindergarten in September)

Children’s Names Grade Entering this Fall Health Problems, if Any

Pre-K K 1 2 3 4 5 6

Teen Volunteers Grade

7 8 9 10 11 12

Would you be willing to help us with Vacation Bible School?
Yes____ No____ We’d love to have you!

Cost: $15.00 supply fee

(2nd child—$12.00; 3rd child—$9.00; 4th child—$6.00)

(Scholarships available – contact Church office at 297-9797)

Please make check PAYABLE TO ZION EPISCOPAL CHURCH

and send it with this application to: 12 Satterlee Place, Wappingers Falls NY 12590