Lab Registration – Bridge Street Ministries

Marking Period 1

Email*
Student Name*
First Last
Student Grade*
Choose
Lab Offerings*
Select the lab(s) you would like to register for:
- BOOK PUBLISHING LAB - You can be a published author right now! Join us on Mondays to find out how.
- BIBLE LAB - On Tuesdays we take a deep dive into Jesus and his ministry on earth!
- COOKING LAB - Cook with us on Wednesdays! Create recipes and become a chef!
- LIFE ADDICTS LAB - Are you ready to pump iron? Come work out with us on Thursdays!
- IDENTITY LAB - Come discover who you are and who God has called you to be every Friday!
What school do you attend?*
Your answer
What's the name of the Resurgence student who recommended you?
Your answer
Address*
Street Address Address Line 2 City State ZIP Code
Parent/Guardian Name*
First Last
Phone*
Emergency Contact Name*
First Last
Emergency Contact Phone*
Consent*
Transportation from school, to labs, and drop-off at home is provided by Bridge Street Ministries and available for all registered Resurgence students. Students will be dropped off at the address listed above unless otherwise instructed by a parent or legal guardian. By checking this box, you are authorizing Bridge Street Ministries (BSM) to provide transportation for the student listed above during the duration of this lab. This form grants Bridge Street Ministries permission to use my/our child's photos in any of their promotional advertisements.
I am a parent or legal guardian of the student listed above, and hereby consent to the terms listed on this form.

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