ILHS Visitors' Day Registration
May 1, 2009

Registration Deadline: April 24, 2009

Please register by completing the following information and clicking on the Submit button at the bottom.  If you are not the pastor of the congregation, please check with your pastor to be sure multiple forms are not being submitted from the same congregation.

Congregation:  City:  State:

Pastor:  Pastor's Email:

Arrival Day/Time:   Departure Day/Time:

Chaperon Names:                                                   Check if housing needed
            Thursday  Friday  
            Thursday  Friday   
            Thursday  Friday   
            Thursday  Friday   

Students:
        Names:
          Grade   Male Female
          Grade   Male Female
          Grade   Male Female
          Grade   Male Female
          Grade   Male Female
          Grade   Male Female
          Grade   Male Female
          Grade   Male Female
          Grade   Male Female
          Grade   Male Female
          Grade   Male Female
          Grade   Male Female
          Grade   Male Female
          Grade   Male Female
          Grade   Male Female
          Grade   Male Female
          Grade   Male Female
          Grade   Male Female
          Grade   Male Female
          Grade   Male Female

   Special Requests or Concerns: