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!
----------------------------------------------------Cut Here---------------------------------------
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
-------------------------------------------------------------------------------------------------------------------
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:__________

top