Vacation Bible School 2021 Registration                        Phinney Ridge Lutheran Church July 26-29                        
HOP, SKIP, & JUMP INTO GOD'S LOVE Monday, July 26-Thursday, July 29.  Daily 9:30-11am for children age 5 through sixth grade.  Younger children are welcome to participate when joined by an adult companion.  Outside on the front lawn at PRLC, we'll explore Bible stories from the book of John about water, women, and Jesus through yoga storytelling, song, animal buddies, science, games, and service.  Cost per child is $20.  You may pay online or with a check by mail.  Scholarships are always available.
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Name of Adult Filling Out Form *
Family Email Address *
Cell Phone Number *
People who have permission to pick up child(ren): *
Emergency Contact Phone Number *
Student #1 First & Last Name *
Student #1 Birthdate *
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Student #1 Grade *
Student #1 T-Shirt Size *
Student #2 First & Last Name
Student #2 Birthdate
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Student #2 Grade
Student #2 T-Shirt Size
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Student #3 First & Last Name
Student #3 Birthdate
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Student #3 Grade
Student #3 T-Shirt Size
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Special Needs/Concerns:
Are you connected with a church community?
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Emergency Medical Consent
I give permission to secure emergency medical care for my child while they participate in VBS at Phinney Ridge Lutheran Church. In a situation where medical care is required these steps may include, but are not limited to an attempt to contact a parent or guardian, administering basic first aid for minor incidences, seeking a professional medical examination and/or treatment, etc. Any expenses incurred for medical treatment will be the responsibility of the participant’s medical /dental coverage or family.
I give my permission for emergency medical care: *
I give my permission to Phinney Ridge Lutheran Church to use photographs of my child in its public displays or media releases. I understand these photographs will not be sold or used for commercial purposes.  Please type your name: *
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