Contact

We’d Love to Hear From You

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

Address

2178 Friedberg Church Road
Winston-Salem, NC 27127

Phone

336-764-1830

Office Hours

Monday-Friday
9:00 AM – 4:00 PM

Register for Vacation Bible School

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

Child/Youth/Adult Name

First Name

Last Name

Age (child only)

Grade Last Completed (child/youth only)

Gender

Parent's Name (Child/Youth Only)

First Name

Last Name

Contact Information

Address Line 1

Address Line 2

City

State

Zip Code

Phone (required

Other Information

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

Contact

We’d Love to Hear From You

Address

Phone

Office Hours

Information

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Register for Vacation Bible School

Child/Youth/Adult Name

Parent's Name (Child/Youth Only)

Contact Information

Other Information

Contact the Website Administrator

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