Croatan FWB Vacation Bible School Registration
7028 Highway 70 East, New Bern, NC 28560 (At the entrance of Carolina Pines)
1st Child's Name
First Name
Middle Name
Last Name
Child's Age(s)
Child's Gender
2nd Child's Name
First Name
Middle Name
Last Name
Child's Age(s)
Child's Gender
3rd Child's Name
First Name
Middle Name
Last Name
Child's Age(s)
Child's Gender
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian's Name
Parent's Email
example@example.com
Parent/Guardian's Mobile Number
Format: (000) 000-0000.
Additional Phone Number
Format: (000) 000-0000.
Please List Any Allergies or Additional Comments
Please Call 252-639-0729 With Any Questions
Submit Application
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