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Hello:
Fee for program and dinner is $100 per child per school year. Please make checks payable to St. Mark's Lutheran Church. Checks may be mailed or dropped off at the church office. Questions? Contact Kari Reiseck at 630-897-6891 ext. 22 or [email protected]
 
 
 
 
Flying Lions Youth Group - Wednesday Evenings: 5:30p.m. - 7:30p.m. (Grades 9-12)
 
 
Your Contact Information
First Name : 
Last Name : 
Phone : 
Email Address : 
 
 
Child's Information
First Name : 
Last Name : 
Date of Birth and Current Age : 
Child's Grade in Fall : 
 
 
 
Child's Gender
 
Male
 
Female
 
 
Contacts
Emergency Phone Number : 
Street Address : 
City and Zip Code : 
 
 
 
Special Needs, Allergies, or Other Concerns?