12625 W. 187th St., Mokena, IL  60448

Marley Community Church

Vacation Bible School 2008

2008 Registration Form

(one per child)

 

 

Pre-registration is required!!!

Space is limited so register early* to
earn your child a FREE t-shirt!!

Registration deadline is June 13, 2008!

 

WHERE:  Marley Community Church in Mokena

WHEN:  June 23rd – June 27^th from 9 a.m. – Noon

FOR:  ages 4 yrs. (by June 13, 2008) to 5^th grade

COST:  $15/per child; $35/per family of 3+

 

  GRADE in 9/08: ________

  BIRTHDATE:     __________

 

  Circle one             BOY   or   GIRL

 

  NAME:                 __________________________________________________ 

  ADDRESS:          __________________________________________________

__________________________________________________

  PHONE:               _________________________________

 

  MOTHER:           ____________________________  CELL:  _______________________

  FATHER:             ____________________________   CELL:  _______________________

  OTHER:               ____________________________   CELL:     ________________________

 

  ALLERGIES       ____________________________________________________________

                                  ____________________________________________________________

 

  Name of special friend your child might like to be with: _________________________

  _______________________________________________________________________

 

  T-SHIRT SIZE:  S (6-8) ____           M (10-12)  ____    L (14-16)  _____

 

Send form and check* payable to:

                                                                    Marley Community Church – VBS

                                                                    12625 W. 187^th St., Mokena, IL 60448

 

*Registration fee is fully refundable if you cancel by Friday, June 20, 2008
by calling 815.485.8587.  Leave your child’s full name and grade. Thank you!