Contact

We’d Love to Hear From You

Use the form below to contact us with any questions, concerns, or comments you may have.

2178 Friedberg Church Road
Winston-Salem, NC 27127

Monday-Friday
9:00 AM – 4:00 PM

Please fill out a seperate registration form for each child/adult who wishes to participate in Vacation Bible School.

First Name

Last Name

Age (child only)

Grade Last Completed (child/youth only)

Gender

First Name

Last Name

Address Line 1

Address Line 2

City

State

Zip Code

Phone (required

Siblings Attending VBS (child/youth only)

Home Church (optional)

Allergies or Special Needs (optional)

Emergency Contact Name (child/youth only)

Emergency Contact Phone

Relationship to Child