Date Of Birth
T-SHIRT SIZE Last School Grade Completed
Allergies (food, animals, hay, etc.) or other medical conditions: Media Release: (Please
My child may appear in pictures and videos of vacation bible school for use by the church.
Media Release: (Please
My child may NOT appear in pictures and videos of vacation bible school for use by the church.
Student Buggy Ride Permission Slip
Date: Monday, June 10, 2019
Time: 9:00 AM til 12:00 PM (time dependent on crew rotation)
Where: Trinity Lutheran Church of Blanco
Activity: Buggy Rides at Vacation Bible School
Trinity Lutheran Church has organized for Buggy Rides to be a part of our wild West Games curriculum for Vacation Bible School on Monday, June 10th, 2019. The buggy
rides will be coordinated through the Buggy Barn Museum. Each crew with their crew leader and/or assistant crew leader will get to take a ride in a buggy during
their allotted Game rotation time. This form is to be completed along with each student registration form and will allow your child to participate in the Buggy Rides
at Vacation Bible School.
(parent name), hereby give my permission for
(student name) to participate in the Buggy Rides at Trinity Lutheran
Church Vacation Bible School.
I have been informed of the details of this activity. My child has my permission to participate in this supervised VBS experience. I agree to
instruct my child to obey all rules, regulations and instructions given by instructors or authorized personnel. I further agree that no instructor
or authorized personnel shall be held responsible or liable for injuries or other mishaps caused by my child's deliberate disobedience of rules,
regulations or instructions.
Your signature indicates that you have read and agreed to the above and that we have your permission for your child to partipate in the
Parents Signature For Buggy Ride Permission:
(Type your name here)
Date Signed Buggy Permission: