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Children Ministry Application
Please fill out as much information as possible so that we can contact you for events and/or if the need should arise, emergencies
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Date of Application Submission
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MM
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DD
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YYYY
Parent(s)/Guardian #1
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Choose
Father
Step-Father
Grandfather
Guardian
Mother
Step-Mother
Grandmother
Parent(s)/Guardian #1 Name
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Your answer
Parent(s)/Guardian #1 Email
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Your answer
Parent(s)/Guardian #1 Phone number (if adding more than 1, list in order of preference)
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Your answer
Parent(s)/Guardian #1 Address
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Your answer
Best way to contact you
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Text
Email
Phone call
Parent(s)/Guardian #2
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Father
Step-Father
Grandfather
Guardian
Mother
Step-Mother
Grandmother
Parent(s)/Guardian #2 Name
Your answer
Parent(s)/Guardian #2 Phone number
Your answer
Parent(s)/Guardian #1 Email
Your answer
Parent(s)/Guardian #2 Address
Your answer
Primary Contact
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Parent(s)/Guardian #1
Parent(s)/Guardian #2
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