True North VBS 2025

Abundant Life Chapel 90, 4th Street Lac du Bonnet Email: general@abundantlifechapel.ca Website: www.abundantlifechapel.ca TRUE NORTH VACATION BIBLE SCHOOL 2024 JUNE 30th - JULY 3rd, 6:00 - 8:30pm each evening
REGISTRATION FOR AGES 5-11 *CAN BE ENTERING K OR GRADE 7

$15/child (ask about family rates) you can pay the first night you drop kids off or etransfer to: alcgivesonline@gmail.com and say VBS in Note please!

Information received is confidential and is being gathered for the purposes of serving your child while in the care of Abundant Life Chapel. Any medical information collected here serves to authorize Abundant Life Chapel, and its staff and volunteers, to obtain medical assistance in emergencies.
Student Name
Address
Date of Birth

MonthDayYear
Date
Mothers Guardians Name
Email
example@example.com
Cell Number
Address if different from above
FathersGuardians Name
Email
example@example.com
Cell Number
Address if different from above
**In case of custody agreements, please include the proper form authorizing parental contacts**
Manitoba Heath 6 digits
PHIN 9 digits
Family Doctor
Phone
Allergies
Does your child have any physical, emotional, mental, behavioural concerns or limitations that our staff should
yes please explain
Emergency Contact In case of emergency, every effort will be made to contact the parent/legal guardian named above. Please provide an alternate emergency contact in the event we are unable to do so.
Name
Phone #
Relationship to Child
I agree that I am the parent/legal guardian of the above named child. By signing, I agree that all information listed above is true and accurate. I agree that I will notify Abundant Life Chapel of any changes pertaining to the above named child. I named below undertake and agree to indemnify and hold blameless Abundant Life Chapel VBS Staff, Pastor and Board of Deacons from and against any loss, damage or injury suffered by the participant as a result of being part of the activities of Abundant Life Chapel as well as of medical treatment authorized by supervising individuals representing the church. This consent and authorization is effective only when participating in events (VBS) of Abundant Life Chapel.
Print Name
Date

MonthDayYear
Date
Signature

Clear
PLEASE FILL OUT THE INFORMATION BELOW IF SOMEONE OTHER THAN THE PARENT/LEGAL GUARDIAN WILL BE PICKING UP / BRINGING YOUR CHILD(REN) TO VBS.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Signature

Clear
PLEASE NOTE - IF YOU DO NOT WANT YOUR CHILD(REN) PHOTOGRAPHED - DO NOT SIGN!
I hereby ALLOW my child to be photographed for the private use only of the VBS program at Abundant Life Chapel.
Childs Name
Parents Signature

Clear
I hereby ALLOW my child to be photographed for publication by name in the local paper, The Clipper.
Childs Name
Parents Signature

Clear
Should be Empty:

Abundant Life Chapel 90, 4th Street Lac du Bonnet Email: general@abundantlifechapel.ca Website: www.abundantlifechapel.ca TRUE NORTH VACATION BIBLE SCHOOL 2024 JUNE 30th - JULY 3rd, 6:00 - 8:30pm each evening

PLEASE NOTE - IF YOU DO NOT WANT YOUR CHILD(REN) PHOTOGRAPHED - DO NOT SIGN!