Christ the King Lutheran Church (WELS)
100 W. Michigan Ave, Palatine, IL 60067
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March 10, 2010


Christ the King 2009/Vacation Bible School

Where:            Christ the King Lutheran Church

                        100 W. Michigan Ave.

                        Palatine, IL

                        (847)358-0230

When:             Mon, June 15- Fri, June 19

                        9:30 AM – 12 Noon

Ages:              Age 3 through Grade 8

Please register soon!


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2009 Vacation Bible School Registration Form

 Student’s Names/Grade in Fall:____________________________

____________________________________________________

____________________________________________________

____________________________________________________  

Allergies or other medical problems:________________________________________

 

Parent(s)’ Name:_______________________________________________________

 

Address:______________________________________________________________

 

City, State, Zip Code____________________________________________________

 

Home Phone:____________Cell Phone:_____________Work Phone:_____________

 

E-mail address:________________________________________________________

 

Family Church(if applicable):______________________________________________

 

Donations of supplies and volunteers are always appreciated.  If you are interested please sign your name below and the VBS coordinator will contact you.

Name:________________________________________Contact phone number:________________

 

NO COST OR OBLIGATION!!

(Offering envelopes will be used to offset costs and support a world mission field.)

Please pre-register your children

by calling:  847-358-0230 or e-mail:  pastor@ByFaithAlone.org

or

mail or drop off this registration form to:

Christ the King Lutheran Church

100 W. Michigan Ave.      Palatine, IL  60067

Visit our Web Site:  ByFaithAlone.org

2009 Vacation Bible School

Monday, June 15 - Friday, June 19, 9:30am-12:00 noon

Christ the King, Palatine, IL  (847)358-0230

 

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Summer B.O.O.T Camp Registration Form / Ages 3-7

Please check all that apply:

Session 1, 6/22-26__

Session 2, 8/10-14__

 

Christ the King Lutheran Church

100 W. Michigan Ave., Palatine, IL  60067.  Phone:  847-358-0230

E-mail:  preschool@ByFaithAlone.org

 

  

Child’s Name______________________________________________________________________________________

                        First Name                                            Middle Name                                         Last  

 

Name child goes by_________________________________________________________________________________

 

 

 

Address__________________________________________________________________________________________

                        Street                                                                           City                              Zip

 

 

Child’s Birthday______________________________________________Sex___________________________________

 

Allergies and/or other medical problems:________________________________________________________________

 

Parent or Guardian Information:

 

 

 

Father’s Name___________________________________________ Home Phone______________________________

 

 

 

Father’s Cell Phone____________________________________Father’s Work Phone____________________________

 

 

 

Mother’s Name___________________________________________ Home Phone______________________________

 

 

 

Mother’s Cell Phone___________________________________Mother’s Work Phone____________________________

 

 

Family E-mail Address:_______________________________ Church Home____________________________________

 

Emergency contacts:

 

Contact_____________________________________________Relationship_________________________________

 

 

Phone during camp hours_____________________________________

 

CONSENT FORM

This registration is to enroll my child in “Summer B.O.O.T. Camp” at Christ the King Evangelical Lutheran Church.  It is understood that this form may be used for information by the Pastor and/or the Evangelism Committee of Christ the King in furthering Christian Education.  By signing this form I hereby grant permission for my child to use all of the play equipment and participate in the activities of “Summer B.O.O.T. Camp”.  I also give Christ the King Church permission to photograph my child.  This may be used to show what the children are doing in class and for promotional use on the church’s website.

 

Signed (father or mother)__________________________________________Date________________

 

For office use only:

Date paid:__________

Check number:__________








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