Children 4 years old through (entering) the 5th grade are eligible to register.

Name_______________________________________ Phone #__________________________________

Address_______________________________ City/State____________________ Zip________________

Age of child, School & Grade entering in the Fall ______________________________________

Parents _______________________________________________________________________________

Do you attend a church? Yes No (circle one). If so, where? _____________________________________

Who did you come to VBS with? __________________________________________________________

How did you hear about VBS at Lynwood URC? _____________________________________________

Are there any food allergies that we need to know about? _______________________________________

Who may pick up your child/children from VBS? _____________________________________________

We encourage you to pre-register your child/children by June 9 by calling the church at (708)474-4100.
Please fill out this registration form and bring it with you on June 16. Can't pre-register? No problem! Registration is also at 8:30 a.m. on June 16. So print out this form, fill it out, and bring it along with you!

Come join us on our Faith Expedition! Hope to see you there!