Family Life Center, Friedberg Moravian Church

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Address
2178 Friedberg Church Road
Winston-Salem
NC

27127
United States

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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