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

Sunday School Registration Form


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

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?"
Yes
No

Emergency contact name:
Emergency contact number:

We value your help!
Name of parents/older siblings who would like to help in Sunday School:
Teacher/Co-Teacher
Weekly classroom helper
Substitute teacher or helper
Help with crafts (4 times)
Assist the co-superintendents twice a month
Assist the co-superintendents for Special Sundays (5 times/year)
Actor/actress for skits (up to two times per year)

T-shirt size (check one):