Lifelines Ministry Information
Thank you for your interest in The Lifelines Ministry at The Heights. These are Sunday morning classes for all ages of those kids (Kinder-6th Grade) with special needs. Lifelines participants will grow together in their faith, while forming new friendships and enjoying fellowship time with one another. Please answer the following questions to help us get to know your Lifelines class member. All of this information will be kept private and confidential and is only shared with teachers to help us to best serve your participant. Completion of this form is required to participate in our Lifelines Ministry.
Name of Lifelines Participant: *
Your answer
Gender *
Age *
Your answer
Date of Birth *
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Form Completed By *
Your answer
Relationship to Participant *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Home Phone Number (if applicable)
Your answer
Cell Phone Number *
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Email Address *
Your answer
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