Children’s Ministry Application
Invest in our kids! fill out the form below and we will get back to you shortly. Thanks!
First Name *
Your answer
Last Name *
Your answer
Phone *
Your answer
Email *
Your answer
Date of Birth *
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How long have you attended Mill Creek Foursquare Church?
Your answer
HAVE YOU BEEN ARRESTED AND/OR CONVICTED OF A CRIMINAL OFFENSE? *
HAVE YOU HAD YOUR DRIVER’S LICENSE SUSPENDED? *
HAVE YOU EVER BEEN CONVICTED AND/OR ACCUSED OF CHILD ABUSE OR A CRIME INVOLVING ACTUAL OR ATTEMPTED SEXUAL MOLESTATION OF A MINOR? *
IF YOU ANSWERED “YES” TO ANY QUESTION ABOVE, PLEASE EXPLAIN IN DETAIL BELOW
Your answer
REFERENCES - Please list the name and phone of two people from church involved (either MC4S or previous fellowship) who know you well and would serve as personal references (we always call your references before you are approved) and one person outside your family that will serve as a character reference. *
Your answer
I acknowledge that I have voluntarily agreed to participate in mc4’s Children’s Ministry Program, In consideration of the opportunity for myself to participate, and fully recognizing that such an undertaking involves an element of risk, I assume all risks and hazards incidental to such participation, and do hereby release, absolve, indemnify, and agree to hold harmless Mill Creek Foursquare Church of Lynnwood, WA, its employees, leaders, organizers, sponsors, pastors and board members. Neither MC4 Church of Lynnwood, WA, nor any of said persons above shall be held financially responsible for any injury, illness, or death incurred as a direct and/or indirect result of any activity held on the above mentioned facility or property or off site locations for as long as you serve in the Children’s Ministry. *
I have read this release, understand all its terms, and execute it voluntarily and with full knowledge of its significance. In the event of an emergency, if I cannot be contacted, I hereby authorize that emergency treatment may be administered. The information contained in this application is correct to the best of my knowledge. I authorize any references of churches listed in this application to give MC4 any information they may have regarding my character and fitness for work with children or youth, and I release evaluations to you. *
By saying yes to the following statement I state that everything on this application is correct and I give MC4S the right to conduct a state and nation-wide background check to ensure that everything is correct. *
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