HTLC Online - Planet Zoom - 2010 VBS

Holy Trinity Evangelical Lutheran Church
2086 Parkview Avenue
Abington, PA 19001

Phone 215.659.2642 - Fax 215.659.8349

EMAIL: EMAIL:

Home

Planet Zoom

No bee is too small to make a difference and everyone has a job at this hive—to boldly proclaim the good news of Jesus’ love!

Best of all, Planet Zoom is where kids learn to boldly praise Jesus and share His love with others.

August 02 - August 06

Student Information

Child 1

Child 2

Name
Age
Gender	Boy Girl
Grade starting in 09/10


Mother's full name:


Father's full Name:

Name
Age
Gender	Boy Girl
Grade starting in 09/10


Mother's full name:


Father's full Name:

Child 3

Child 4

Name
Age
Gender	Boy Girl
Grade starting in 09/10


Mother's full name:


Father's full Name:

Name
Age
Gender	Boy Girl
Grade starting in 09/10


Mother's full name:


Father's full Name:

Contact Information

Name:

Street Address:

Address (cont.):

City:

State:

Zip:

Home Phone:

E-mail:

About you

Are you regular attendees or members of Holy Trinity?

Yes
No

If no, member of what church?

Are you looking for a church home in Abington?

Yes
No

If you are looking for a home church can pastor Mike or Mandy contact you about Holy Trinity?

Yes
No

Is there anything else we need to know for the safety of your child such as food allergies, bees, special medical information, etc?

How did you hear about Holy Trinity VBS?

Word of Mouth
Door hanger
HTLC Website
Google
Facebook
Other

If attending with a friend from Holy Trinity please indicate who: