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JICC Kids Information Form
Interested in volunteering with JICC Kids? Please complete this form. We want to get to know YOU!!
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* Indicates required question
Email
*
Your email
Your Name
*
Your answer
How are you presently connected to JICC?
*
Choose
Covenant Member
Regular Attender
I am new, but how can I serve?
I am a visitor, but interested in finding ways I could serve with Kids Ministry at JICC.
Other
Are you willing to submit to a background check?
*
Yes
No
Address
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Your answer
Phone Number
*
Your answer
Birthday
*
MM
/
DD
/
YYYY
Gender
*
Choose
Male
Female
Marital Status
*
Choose
Single
Married
Widowed
Do you have any children (or grandchildren)? Feel free to elaborate with names, ages, and anything fun you might like us to know.
*
Your answer
Emergency Contact (name, phone number, relationship to you)
*
Your answer
Any additional information you want to share (hobbies, work life, family life, etc.)?
Your answer
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