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Home
WHO WE ARE
Our Mission
Our Vision
2022 Parish Profile
2022 Rector Responsibilities
Our Staff
>
Parish Executive
Council Members
JOIN US
Location
Contact Us
>
Looking for a Church
Prayer Requests
Online Giving
Contact Us
Service Times
MINISTRIES
Youth
>
Combustion
Spark
Sunday School
LIFE Groups
Moms in Prayer
Ladies Guild
Chancel Guild
Music Ministry
Rainbows Program
Library
News
Missions
Refugees
This Week's Bulletin
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Indicates required field
Leader's Name
*
Age:
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Sex:
*
Male
Female
Date of Birth (DD/MM/YYYY):
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Address:
*
City:
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Postal Code:
*
Home Phone
*
Work Phone:
*
Cell Phone:
*
Email
*
Who is Jesus to you?
*
Why do you want to be a leader at camp?
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If you are under 18 years old a parent/guardian must fill our the remainder of the form. If you are a legal adult, YOU will need to fill out the remainder of the boxes, but you can skip parent/guardian's name and contact number.
Parent/Guardian Name (first/last):
*
First
Last
If under 18 parent/guardian information must be provided.
Best Contact Phone Number:
*
Medical Information
Allergies:
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Health Card
*
Emergency Contact:
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Emergency Contact Phone:
*
Emergency Contact Relation to Child:
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I hereby give permission for the person registered via this form to participate in all activities, to have
photographs taken of them for advertising purposes, and to receive emergency medical treatment if
necessary.
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