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Trinity Ev. Lutheran Church

989-892-5435
    
1010 33rd Street
Bay City, Michigan  48708-8600

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Vacation Bible School Signup
Parents Name*
Address*
Phone Number*
Home Church
Email Address*
Person picking up child (ren) if parents won't be.
Emergency contact if parents can't be reached (Name and phone number)*
1st Child's Name*
Child's Age*
Grade (in the fall)
2nd Child's Name
Child's Age
Grade (in the fall)
3rd Child's Name
Child's Age
Grade (in the fall)
4th Child's Name
Child's Age
Grade (in the fall)
Do any participating children have any allergies or medical conditions? Please explain.
Church at which we are active members
Permission to Attend: I give permission for my child/children (named above) to attend the VBS listed above. I understand that the information I give for this registration will only be used by the VBS hosting church, and that all registration information will be removed from the hosting site by December 31 of this year.*
 Yes
 No
Medical Release: I give my permission for the VBS staff to administer basic first aid to my child/children (named above) in the event of an injury. I understand that the VBS staff will contact emergency services in the event of a significant injury and all expenses for such emergency services will be paid by me.*
 Yes
 No
Photo Release: I hereby grant the above named church permission to copyright and use photographs/videos taken at VBS of the minor designated above in any manner or form for any purpose lawful 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 which it may be applied.*
 Yes
 No
Bus Transportation: I give permission for my child/children to be transported to Trinity Ev. Lutheran Church on Thursday, July 11, 2019, via the Trinity Lutheran bus for Thursday's closing program and meal. I hereby release Trinity Lutheran Church and School of all liabilities should a mishap occur.*
 Yes
 No


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