Acolyle Registration Information Form
2009/2010

Name:  

Birthdate (mm/dd/yyyy):       Phone No.:  

Address: 

City:      Zip Code:  

Parents' Names (Please include correct First Name, Middle Initial, & Last Name):

Family Email:  

My family usually attends this worship servcie:  Select Service HereSat 5:00 PMSun 8:15 AMSun 9:30 AMSun 11:00 AMSun 12:30 PM 

I attend Sunday School at:   Select Time Here9:30 AM11:00 AM

I will attend worship at this service on Christian Education Weekend
(September 12 & 13, 2009):   Select Service HereSat 5:00 PMSun 8:15 AMSun 9:30 AMSun 11:00 AMSun 12:30 PM

I will attend Acolyte Training on:   Select Training Session HereSun, Sep 13 from 2:00-3:00 PMWed, Sep 16 from 5:00-6:00 PMWed, Sep 16 from 7:15-8:15 PMThr, Sep 17 from 6:30-7:30 PM

Other Information:

** IMPORTANT NOTICE**

By filling in the information below and submitting this electronic form, I state truthfully that I am the authorized parent or gaurdian of the child named above AND I have never been convicted of a criminal sexual offense or a felony of any nature, and consent to a criminal background check.

Parent Full Name:  
Today's Date:  
Parent Date of Birth (mm/dd/yyyy) Required for Background check:  

Parent Full Name:  
Today's Date:  
Parent Date of Birth (mm/dd/yyyy) Required for Background check: