Name

WORLD OVERCOMERS CHRISTIAN CENTER
VACATION BIBLE SCHOOL (VBS)

REGISTRATION FORM
June 22, 2009-June 26, 2009

Name (required):

Home Phone:

Address:

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Mobile Phone:

City:

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Home Church Name:

Do you have a child (children) attending VBS? Yes No

If yes, how many:

Please list all children attending VBS (give full names, ages, & medical concerns.)

Name:

Age:

Medical Concerns?

Name:

Age:

Medical Concerns?

If medical concerns, please give additional information:

For more information contact Paulette McKoy at: 919-673-2299 or 919-496-6742
Please leave a detailed message when contacting.

You may click the submit button below or mail this form to:
World Overcomers Christian Center 748 Main Street, Bunn, NC 27508.