Light of the World Vacation Bible School: December 21, 22 and 23 from 9:00 - 9:45 a.m.

Registration for Kindergarten through 4th Grade

If you have questions about this registration,

please contact Kathy Handelman, khandelman@divinemercynorthshore.org or call 847-881-6664.

*indicates required field

Primary Family Contact Information

Family Last Name *

Primary Home Address *

City *

State *

ZIP *

Primary Family Email Address *

Secondary Email Address (Optional)

Primary Family Phone Number *

Phone Type *

Secondary Family Phone Number *

Phone Type *

Parent Information

Mother's First Name

Mother's Last Name

Father's First Name

Father's Last Name

Child Information

How many children are you registering for Vacation Bible School? *

Child One

Child's First Name *

Nickname

Child's Last Name *

Gender *

Date of Birth *

Grade Registering For *

Child Two

Child's First Name

Nickname

Child's Last Name

Gender

Date of Birth

Grade Registering For

Child Three

Child's First Name

Nickname

Child's Last Name

Gender

Date of Birth

Grade Registering For

Special Needs

Child Four

Child's First Name

Nickname

Child's Last Name

Gender

Date of Birth

Grade Registering For

Supply Kit

The Light of the World Vacation Bible School is being offered free of charge. If you would like to make a donation to Divine Mercy Children’s Ministry to underwrite the cost of the supply kits and technology, please send a check to Divine Mercy Children's Ministry, 1077 Tower Road, Winnetka, IL 60093 or call 847-881-6664 to safely give your credit card information over the phone.

Please submit your registration by clicking the "Submit" button below.

If you have questions about this registration,

please contact Kathy Handelman at khandelman@divinemercynorthshore.org or 847-881-6661.

Thank you!