Bible Lab 2012 Registration Form

Please fill in the information for your child. All information will be held in strict confidence and will only be used by the church ministry for the benefit of your child's church experience and safety. If you have any questions or concerns please call me at the church office or email me at jacki@trinitymp.org. For more information about the program visit the Bible Lab post.

Thank You
Jacki Bogolia, Christian Education Director

Student Information

Student's First Name:

Student's Last Name: Grade:

Parent Information

Parent First Name:

Parent Last Name:

Phone:

Email: Text:

Emergency Contact:
(an adult NOT in the church building and NOT parents)

Emergency Phone:

Please select dates parents could serve as Lab Assistants:

(In order to meet Safe Sanctuary Guidelines, parents may expect to serve about two times.)