Triangle Presbyterian Church
Durham, NC

VBS REGISTRATION ● June 14-18, 2010
Triangle Presbyterian Church ● 5001 Tudor Place ● Durham NC 27713 ● 919-544-2872
Children & Youth: 6:30-8:30 pm ● Adult Class: 6:45-8:15 pm
Those wishing to receive a T-shirt must register no later than June 4th. You may register after that date, but may NOT receive a T-shirt. The maximum fee for children’s registration is $30.  Scholarships are available, please contact the church office.

* Parent(s) or Adult  Name(s):

* Street address:

* City, State, Zip:

* Phone numbers (home):

(office):

(cell):

* E-mail:

* required information

For Children & Youth (K-8):

children/youth @ $15 each = $
Child's Name:
Grade in next academic year:
T-Shirt Size
Medical concerns or allergies:
Child's Name:
Grade in next academic year:
T-Shirt Size
Medical concerns or allergies:
Child's Name:
Grade in next academic year:
T-Shirt Size
Medical concerns or allergies:
Child's Name:
Grade in next academic year:
T-Shirt Size
Medical concerns or allergies:

For Preschool & Nursery Children:

children @ $10 each = $

PLEASE NOTE: Preschool and nursery programs are provided ONLY for parents of VBS staff and those who register for the adult class.

Child's Name:
Child's birthdate (mm/dd/yyyy):
Child's Age:
Medical concerns or allergies:
Child's Name:
Child's birthdate (mm/dd/yyyy):
Child's Age:
Medical concerns or allergies:

Number of Adults:

   

Pastor Casey Clark will be teaching; topic to be determined.

NOTICE: all information entered into this form will be sent in plain text format, via e-mail, to the TPC office.