Youth Volunteer/Staff 
Please fill out this form if you are interested in working with the Children's Ministry.  

If you are looking for Summer Volunteer Application please go to our website for more information. HERITAGEUMC.COM

If you have any questions regarding this application please email us at childrensministry@heritageumc.com

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Email *
First Name *
Last Name *
Birthdate *
MM
/
DD
/
YYYY
Current Grade for the 2022-23 School Year *
Street Address *
City *
ZipCode *
Cell Phone # (999) 999-9999, if you do not have a personal Cell Number please add your parents Cell Number.  *
Email Address *
Parents Email Address *
Parent Phone Number (999) 999-9999 *
Please Check All that Apply to You *
Required
Please tell us how you are actively growing your Faith *
Does your Parent consent to having Heritage United Methodist, 2680 Landmark Dr. Clearwater FL 33761, and it's Children's Ministry Staff contact you directly via cell phone (call and text) and email. If they would prefer to have all communications sent to them in copy please answer no. With a no Response all communications will be sent to both you and your Parent.  *
A copy of your responses will be emailed to the address you provided.
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