Online VBS Registration Form

First Presbyterian Church

611 Oakhurst Street -- Kernersville, NC 2728

Vacation Bible School

June 25 – 28, 2018
5:30pm – 8:00pm
(supper provided)
Registration Form
(complete one for each child)

VBS Registration


Street Address:

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Home Telephone:    

Home Email:

Age:   Date of Birth:  

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In Case of Emergency Contact:

Mother:   Phone Number:

Father:   Phone Number:

Other:    Phone Number:

Allergies or Other Medical Conditions:

Home Church: