Welcome to Created Youth-
We're glad you're here!

First Name

Last Name

Age + Birthday

Grade
6th
7th
8th
9th
10th
11th
12th

Phone Number

Do You Have Instagram?
Yes
No

Who Brought You?

Guardian First Name

Guardian Last Name

Guardian Email Address

Guardian Phone Number

Fav Snack + Drink

Belong, Believe, Become

3409 Grove Avenue
Berwyn, IL 60402

708-398-3234
Church Office Hours:
Tuesday-Friday: 10:00 a.m.- 4:00 p.m.

Welcome to Created Youth-We're glad you're here!