[Homepage] [Calendar] [Message Board] [Chat] [ZAP registration] [Food Pantry Needs] [ZAP Registration 2010] [ZAP] [Mother Daughter Tea] [Pig Roast/Carnival] [Last Day of School Party] [Weekly Announcements] [Volunteers] [Synod Office] [Synod Resource Center] [Cherish Our Children] [The Hunger Site] [Women of the ELCA] [Simply Giving] [Baldwin-Woodville School District] [Daily Devotions] [We Are Family] [Hayride & Bonfire] [Time and Abilities 2009/2009] [Zion Scholarship Application] [Meth Awareness Presentation] [Vacation Bible School Registration Form] [Joseph's Square] [Norwegian Meatball Dinner] [Monthly Newsletter] [October 2010] [November 2010] [December 2010] [January 2011] [February 2011] [March 2011] 2008 Z.A.P. Registration FormPlease fill out a separate form for each child and return it to Zion Lutheran Church with your child. Please call the church at (715) 698-2988 with additional questions. Thanks! Child's Name:_____________________________________ Age/Grade Completed:___________Birthdate____________ Street Address:___________________________________ City:__________________State:____Zip Code:______ Home Phone:________________________ Mother's Name:_________________Work Phone:_______________ Father's Name:_________________Work Phone:_______________ Name of adult responsible for child:______________________Phone:_______________ Address:____________________________________ Child may (select all that apply): _____walk home _____ride bike home _____be picked up by:____________________ Are there any medical concerns we should know about (including food allergies)? Are there any social/emotional concerns? Additional comments: |
