"Butterfly Wings and Godly Things" VBS Registration

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1-day VBS /June 24, 2023/Clemmons Moravian Church for children ages 4-10!
3535 Spangenberg Ave, Clemmons, NC 27012

VBS this summer focuses on 2 Corinthians 5:17. We will have singing, crafts, games, Bible lesson and science activities.

For questions, please contact Randy Fulton (dce@clemmonsmoravian.org) or call the church office at (336) 766-6273.

Saturday, June 24: 9:00 am - 1:00 pm (includes lunch)

Email *

Parent/Guardian Name (Last, First) *

(if another Parent/Guardian may be dropping off/picking up, please share their name in Section 2)

Parent/Guardian Cell Phone (xxx) xxx-xxxx *

Address Line 1 *

Address Line 2 (if needed)

City *

State *

ZIP Code *

Child #1 Name (Last, First) *

(You can register additional children in section 2)

Child #1 Age *

Age

Child #1 allergies or relevant medical/health information

Emergency Contact Name *

Emergency Contact Phone Number (xxx) xxx-xxxx *

Emergency Contact Relationship to Child *

People in addition to listed Parent(s)/Guardian(s) who are authorized to pick up your child *

Home church (optional)

Any additional comments/concerns that will help us to bless and care for your child(ren)

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