Bethany UMC
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Acolyte First & Last Name
Gender

Birthday     

Phone    

Street Address    

   Apt No.    

City    

Zip    

Elementary School Attending   


Mother's Name (First, Middle Initial, Last)
          Mother's Birthday (required for background checks)
Father's Name (First, Middle Initial, Last)
          Father's Birthday (required for background checks)

Family Email
Worship hour family attends:
I want to attend Sunday School at:
The service I will attend on
Sunday, Sept. 8 or 9, 2007
for Christian Education Sunday is
:
I will attend Initial Acolyte training on:
Can you serve on short notice?
Can you serve at any service?
Other Information

IMPORTANT!
By initialing below, I state that all information that has been provided on this form is correct.
Type your initials here to agree: