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Staff Child Application

Please fill out all the required fields, a parent may scribe for a younger child

Child's Name
Address
Click or drag a file to this area to upload.
Gender Child
Birthdate

School Information

School's Address

Questionnaire

Do you go to church regularly?
Eg: Youth Group / Brownies / Scouts / Cubs / Etc
Have you ever been to...

References

Please fill out the following information for your child's Pastor/Spiritual Mentor, and a teacher. Once you have submitted this form, an email will be sent to them directly with a link to their specific reference form.

Pastor's Name
Teacher's Name
Privacy Information