t
PLEASE NOTE: All fields are required, click submit only once, on reaching the "Thank You" page, simply close window.
Name
Address
City/State

Zip
Age
Sex
Home Phone Number
Guardian's Daytime Number
Email
Have you had Sexual Misconduct and Child Abuse prevention training?
Dates you are willing to serve
Hours/day you are willing to serve
Special Needs/Concerns
Special Skills (Check all that apply) I can cook for large groups
I am a Nurse/Medical professional
I am a certified teacher in my state
I have experience teaching Church School
I am skilled in leading Arts/Crafts
I like to lead group games and icebreakers
I am skilled at playing and leading music
You will receive email confirmation of your registration within the week. if you do not receive an email from the office of Youth Ministries in this time, please call
614-297-7420. Thank you!