Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home Phone

(###)

###

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Cell Phone *

(###)

###

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Is texting available on your cell phone? *

Yes

No

Parent / Guardian(s) Name(s) *

First Name

Last Name

I would like to be involved in: *

Services & Times (check all that apply)

11am Sunday Morning Worship

7pm Wednesday Evening Worship

Special Events

I would like to be involved in: *

Kids Ministry Area (check all that apply)

Nursery (ages 0-1)

Toddlers (ages 1-3)

Preschool (ages 3-5)

Elementary (ages 6-12)

I am willing to be trained, supervised, and reviewed by the Christian Education Director of Maranatha. I understand that I will be considered important as a volunteer and will be expected to assume responsibilities as directed by the Christian Education Director, including attendance at training sessions when needed. I accept this as a commitment to Christ and His Church. *

Date *

MM

DD

YYYY

Date *

MM

DD

YYYY

Parent / Legal Guardian Phone *

(###)

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