1900 E. Lincoln Hwy.
P.O. Box 205
New Lenox, IL 60451
phone 815-485-5327
fax 815-485-2688
email us
find us

Our Youth Ministry

Vacation Bible School Registration Form

Child Information (complete one entry per child please)
Child's Name:
Child's Birth Date:
Parent/Guardian Name:
City: State: Zip:
Best Phone:

Have you/siblings been in our Bible School before:

Home church (if any):
Age as of July:
Into which grade/age level should the student be placed?

If preschool has he/she been in a preschool?
Yes No

Please describe any allergies/medications/special needs the child may have that we should be aware of:

Is your child a "wanderer?"

Emergency contact name:
Emergency contact number:

We value your help!
Name of parents/older siblings who would like to help in Vacation Bible School:
Leader/Helper (Stays with class)
Decorating helper (Monday)
Food Donation(We'll let you know what we need)
Food serving helper
Friday Lunch Helper
Help with crafts
Help with games
General Helper
Registration/check in guide
Friday Cleanup Helper

(Cost: Free-will donation; actual cost to the church will be about $8-10 each. Money will be collected during Bible School.)