VBS 2022 - Bethel Memorial Baptist

Look Ahead to this years 2022 VBS. July 18th thru July 22nd

Bethel Memorial Baptist Church
715 Chestnut Lane,
Easton, PA

Bible story, memory verse, songs, games, crafts and snacks!!

Elementary age children invited!

Register online using the form below.

Or call 610-253-2565

VBS 2022 REGISTRATION FORM

Child's Name *

First

Last
Grade Entering in September *
Parent/Guardian Name *

First

Last
Parent/Guardian Email Address *
Address, City, State, Zip Code *
Parent/Guardian's Phone Number *
Childs's Allergies/Medical Conditions *
Emergency Contact if Parent/Guardian Cannot Be Reached *

First

Last
Emergency Contact Phone Number *
Individuals allowed to pick up child if Parent or Gaurdian not available *
Permission *

The above named child has my permission to attend the VBS program every day. I also give permission for the above named child's voice and image to be included in photos/videos for promotional purposes. I promise not to hold Bethel Memorial Baptist Church, its staff, the host or sponsoring church responsible for any injuries or sickness that has occurred at or as a result of this program.
Electronic Signature (Parent/Guardian, please type your name and acknowledge that you are signing electronically below) *
Electronic Signature Acknolwedgement *

I understand that by typing my name in the above form it constitutes an electronic signature and I hereby give my permission with that electronic signature. I understand that any pictures of me or my child may be used for electronic or paper promotional purposes
Items to bring

Book bag, Pencil/pen, Notebook, Bible, Water bottle, Beach towel (for water activity on Wednesday), Bathing suit/ change of clothes ( for water activity on Wednesday) (one piece suits for girls)
Things not to bring

Electronics, Alcohol/ tobacco/illegal substances, Jewelry, Knives/weapons of any kind, Money

Items to bring

Things not to bring

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