Illini Registration Form
Who: All Illini Students K through 4th Grade

What: A non-denominational Bible based after-school program

When: Thursdays, April 18th thru May 9th  - from dismissal until 5:00 pm. Meet after school in the Gym -  Families invited to join us for our closing program on May 9th at 4:45pm in the Multi Purpose Room

Why: We teach the truth & hope found in the Bible. This basic foundation of faith will help children their entire lives.

How: Submit 1 registration form below for each child attending or print and complete the paper registration form and return to the Coordinator.


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ILLINI -  Registration Form -  SPRING 2024
Child's First Name *
Child's Last Name *
Grade *
Teacher
Bus Number (enter 0 if not bus rider) *
Does your child attend latchkey/after school care *
Parent/Guardian Name *
Street Address *
City, State and Zip code *
Home Phone Number
Cell Phone Number *
Work Phone Number
Email Address *
Emergency Contact Name (3 - 5pm) *
Emergency Contact Phone Number (3 - 5pm)  
 *
Allergies/Special Concerns *
Required
If yes, please explain
I would like to:
Does your child have a bible at home?
By typing my name below, I give my child permission to attend the after-school Kids For Christ Bible Study. I understand I must confirm all Bible Study plans with his/her school teacher in advance. I assume all risks and hazards incidental to Bible Study participation. *
Required
Parent Signature *
Date Signed *
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This program is entirely voluntary and not affiliated with School District #110

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