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Church Van Sunday School Ride Every Sunday Morning at 8am - 8:30am (must be in the city limits of Bellville)

Child's first & last name: *

Child's address to be picked up from: (we can only pick up in the city limits of Bellville at this time). *

Parent's first & last name: *

Telephone number parents can be text at: *

We can not pick up children that need car seats at this time. Does your child need a car seat to ride in a van? *

Yes

You can pick up your child up after church at 11:35am at 520 N. Holland Bellville, TX 77418. We will meet you in the parking lot. If you have no way to have your child picked up at this time, we can provide a ride home. Would your child NEED a ride home? *

Yes

The child registered on the form have my permission to participate in St. John's Youth Outreach Ministries, during indicated sessions. I agree that St. John Lutheran Church and/ or the ELCA will not be held responsible for accidents arising thereof. I am responsible for any medical obligations incurred during these activities and give the St. John Lutheran Church permission to seek treatment in case of injury or illness. I give permission for St. John Lutheran Church, the ELCA to use, publish or disclose in newsletters, brochures, periodicals, posters, website or other media-related vehicles any photographs, videos, audios, or other material in which my child may have appeared, spoken, written or otherwise been represented. I understand that I am ultimately responsible for my child's behavior at the Church and that they will be expected to live by the Youth Covenant which states: "I will show respect for God, others and myself." I know that violation of this covenant can and will result in my child being removed from the program. *

I agree & understand.

Someone will text you when they are on their way to pick up your child. Child(ren) should be waiting on a porch or near a window watching for church van. *

I agree & understand.

We are SUPER DUPER excited to start this new ministry for children to be able to experience Sunday School & Church!! We are delighted you decided to sign up your precious gift from God! We understand life gets busy and St. John would love to help you!! Please call our office Mon - Thurs if you have any questions 979-865-2081 and always remember JESUS LOVES YOU!! *

I understand and have address & telephone number down. I know the time of the van pick up and understand the time of pick up from church at 11:35am.

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