Bridge Street Ministries

  • Home
  • About
  • Community Development
    • The Pavilion
      • Menu
    • Saturday Gatherings
    • Involvement
  • Youth Discipleship
    • Resurgence
      • New Student Enrollment
      • Resurgence Covid-19 Protocol
      • Lab Registration
    • Grand Rapids Bridge Year
      • About Bridge Year
      • Schedule a Visit
    • Grand Rapids Immersion
      • About Immersion
      • Group Registration
  • Events
    • Banquet
    • Races
  • Connect
    • Facilities Reservation
  • Partner
  • Donate

Grand Rapids Immersion Individual Registration

Step 1 of 3

33%
  • General Information

  • We need this so that we can notify them that you've filled out your form!
  • Background Check Information

    Please note that any adults working with or around children, youth, or adults with developmental disabilities are required to provide all of the following information, and consent to relevant background checks prior to their start date. All information provided in this application is secure and used solely by BSM staff for administrative purposes. Under no circumstance will the information provided be shared with an outside party.
  • Emergency Contact

    Please provide contact information for the person we should call in case of an emergency.
  • Medical Information

    All information provided will be held in confidentiality.
  • Medications

    Please list medications and doses that are taken regularly.
  • MedicationDosageSpecific times taken each dayReason for taking 
  • Medication, Food, and Other AllergiesDescribe reaction and explain how it is managed 
    List all known
  • Release Form

  • Minor Student (under 18)

  • Adult student or leader (Must be over 18)

Subscribe to our newsletter

  • This field is for validation purposes and should be left unchanged.
Copyright © 2021 Bridge Street Ministries | Powered by Bridge Street Ministries