Trinity Lutheran Church, St. Joseph, MI Vacation Bible School Registration 2019
One Form per Child, please
Email address *
Student Last Name: *
Your answer
Student First Name: *
Your answer
Age: *
Your answer
Gender: *
Grade (entering fall 2019) *
Your answer
Food Allergies:
Your answer
Medical Issues/Special Needs:
Your answer
Parent Name: *
Your answer
Address: *
Your answer
City: *
Your answer
State: *
Your answer
Zip: *
Your answer
Email: *
Your answer
Are you a member of Trinity Lutheran Church:
Preferred Phone Number: *
Your answer
Text Capable: *
Other Phone Number:
Your answer
Text Capable:
Alternate Pickup Person:
Your answer
Medical Release:
I give my permission for Trinity staff and volunteers to administer basic first aid to my child (named above) in the event of an injury. I understand that Trinity staff will contact emergency services in the event of a significant injury and all expenses for such emergency services will be paid by me.
Photo Release:
I hereby grant Trinity Lutheran Church permission to copyright and use photographs/videos taken at Vacation Bible School activities and events of the minor designated above in any manner or form for any lawful purpose at any time. I waive any right that I may have to inspect or approve the finished product or written copy, that may be used in conjunction therewith, or the use to may be applied.
Permission to Attend:
I give permission for my child (named above) to attend the Children’s Ministry listed above. I understand that the information I give for this registration will only be Trinity Lutheran Church.
A copy of your responses will be emailed to the address you provided.
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