Head of Household
*
First Name
Last Name
Head of Household Phone
Head of Household Email
Head of Household Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
I would like to volunteer my time and talents to the following ministries...
Please mark all that apply
Spouse
First Name
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Spouse Phone Number
Spouse Email
Spouse-I would like to volunteer my time and talents to the following ministries...
Emergency Contact Name
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Emergency Contact Phone
Emergency Contact Email
Emergency Contact Relationship
Child 1
First Name
Last Name
Child 1 Date of Birth
MM
DD
YYYY
Child 1- Grade in School as of September 1, 2023
Child 1- Email *If Applicable*
Child 1 Phone- *If applicable*
Child 1- List of Allergies
Child 1- Health Concerns
Child 1- I would like to participate in the following ministries...
Child 2
First Name
Last Name
Child 2 Date of Birth
MM
DD
YYYY
Child 2- Grade in School as of September 1, 2023
Child 2 - Shirt Size
Select
Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
Adult XXXL
Child 2 Phone- *If applicable*
Child 2- Email *If Applicable*
Child 2- List of Allergies
Child 2- Health Concerns
Child 2- I would like to participate in the following ministries...
Child 3
First Name
Last Name
Child 3 Date of Birth
MM
DD
YYYY
Child 3- Grade in School as of September 1, 2023
Child 3 - Shirt Size
*
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Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
Adult XXXL
Child 3 Phone- *If applicable*
Child 3- Email *If Applicable*
Child 3- List of Allergies
Child 3- Health Concerns
Child 3- I would like to participate in the following ministries...
Child 4
First Name
Last Name
Child 4 Date of Birth
MM
DD
YYYY
Child 4- Grade in School as of September 1, 2023
Child 4 - Shirt Size
Select
Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
Adult XXXL
Child 4 Phone- *If applicable*
Child 4- Email *If Applicable*
Child 4- List of Allergies
Child 4- Health Concerns
Child 4- I would like to participate in the following ministries...
Photo Release
*
Representatives and authorized contractors of the Church are hereby authorized to take and record photographs, videotape or other images, and or make audio, video or other recordings, of Participant and Participant’s activities at or involvement in Church Events, solely for the use by the Church in its brochures, newsletters, video tapes, recordings, web sites and other promotional material or items to promote the Church or Church events, all without any remuneration to Participant, Guardian or the Undersigned. Please Sign Below.
