Vacation Bible School Registration
July 22nd - 26th, 9:00 - Noon
Trinity Lutheran Church, Freeland
Contact us at 360-331-5191 or AmyTLCYouth@gmail.com
Student's Name *
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Age *
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Grade Entering *
Parent/Guardian Name(s) *
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Primary Telephone Number(s) *
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Primary Email Address *
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Primary Mailing Address
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Emergency Contact Name & Phone *
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Food Allergies and/or Medical Concerns *
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Medications Needed (emergency only)
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Does anyone else have permission to pick up your child? Please list their name and phone number here:
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Is there anyone who is NOT permitted to pick up your child? Who?
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I give Trinity Lutheran Church permission to use my child's photograph in promotional pieces, both inside and outside of the building, including use on the church website and Facebook pages. *
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Parent/Guardian Digital Signature *
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