2022 VBS Spark Studios Registration

Get excited for this year’s Vacation Bible School Spark Studios!

This year’s VBS will be on the following dates:
June 12th 5:30PM-8:30PM
June 13th 5:30PM-8:30PM
June 14th 5:30PM-8:30PM
June 15th 5:30PM-8:30PM
June 16th 5:30PM-8:30PM
June 17th 5:30PM-8:30PM

Dinner will be provided for all attending VBS from 5:30PM to 6:00PM.

Family Night will be on June 17th, everyone is welcome to come!

Fill out the form below to pre-register for this year’s VBS:

Parent Name *

First

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

VBS Participant Information

How many children are you registering for VBS at Memorial Baptist?

Child #1 Name *

Child #1 Age *

Child #1 D.O.B.

MM/DD/YYYY

Child #1 Grade *

Please select the last grade that your child completed in school. If preschool age or younger please select N/A.

Does Child #1 have any food allergies, medical issues, or behavioral needs we should be aware of? *

Please list any allergies, medical issues, or behavioral needs below: *

Child #2 Name *

Child #2 Age *

Child #2 D.O.B.

MM/DD/YYYY

Child #2 Grade *

Please select the last grade that your child completed in school. If preschool age or younger please select N/A.

Does Child #2 have any food allergies, medical issues, or behavioral needs we should be aware of? *

Please list any allergies, medical issues, or behavioral needs below: *

Child #3 Name *

Child #3 Age *

Child #3 D.O.B.

MM/DD/YYYY

Child #3 Grade *

Please select the last grade that your child completed in school. If preschool age or younger please select N/A.

Does Child #3 have any food allergies, medical issues, or behavioral needs we should be aware of? *

Please list any allergies, medical issues, or behavioral needs below: *

Child #4 Name *

Child #4 Age *

Child #4 D.O.B.

MM/DD/YYYY

Child #4 Grade *

Please select the last grade that your child completed in school. If preschool age or younger please select N/A.

Does Child #4 have any food allergies, medical issues, or behavioral needs we should be aware of? *

Please list any allergies, medical issues, or behavioral needs below: *

Child #5 Name *

Child #5 Age *

Child #5 D.O.B.

MM/DD/YYYY

Child #5 Grade *

Please select the last grade that your child completed in school. If preschool age or younger please select N/A.

Does Child #5 have any food allergies, medical issues, or behavioral needs we should be aware of? *

Please list any allergies, medical issues, or behavioral needs below: *

Child #6 Name *

Child #6 Age *

Child #6 D.O.B.

MM/DD/YYYY

Child #6 Grade *

Please select the last grade that your child completed in school. If preschool age or younger please select N/A.

Does Child #6 have any food allergies, medical issues, or behavioral needs we should be aware of? *

Please list any allergies, medical issues, or behavioral needs below: *

Child #7 Name *

Child #7 Age *

Child #7 D.O.B.

MM/DD/YYYY

Child #7 Grade *

Please select the last grade that your child completed in school. If preschool age or younger please select N/A.

Does Child #7 have any food allergies, medical issues, or behavioral needs we should be aware of? *

Please list any allergies, medical issues, or behavioral needs below: *

Emergency Contact Information

Emergency Contact Name *

First

Last

Emergency Contact Phone *

Safety Information

Authorized Pick Up Persons

List the names of people authorized to pick up your child/children

Social Media Consent

Be advised that there will be photography and videography during this year's Vacation Bible School - some of this content will posted to the church's social media accounts and website. Do you grant permission for Memorial Baptist to post content containing your child to our social media accounts and website? *

Followup Questions

Would you like Memorial Baptist to follow up with you about future children's ministry events and information about the church?

Comments or Questions

Location:

109 W Church Street, Williamston NC 27892

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