Registration Form
Saturday, July 24th from 9 am-4 pm
Snacks & Lunch Provided

Bethel Lutheran Church welcomes students age 3 (potty-trained) to entering the 5th grade to register for River of Life Vacation Bible School!
If you feel that there is additional information you would like to provide for your Student that has not been included in this form.  Please contact the church office (701-255-1433 or secretary@bethelbismarck.com)

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* 1. Student Name

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* 2. Student Grade (entering Fall 2021)

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* 3. Parent/Guardian Name

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* 4. Parent/Guardian Phone Number (This number will be used as the emergency contact)

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* 5. Parent/Guardian Address

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* 6. Parent/Guardian Email Address

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* 7. Student Food Allegeries - please list

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* 8. Other Student Special Accomodations - please describe

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* 9. 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.   

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* 10. Medical Release: I give my permission for the VBS staff to administer basic first aid to my child (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.

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