Name *

First Name

Last Name

Phone *

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What area of ministry are you interested in? *

Infants (6 weeks - 12 months)

Nursery (1-2 years old)

Toddler (2-3. years old)

Preschool (4-6 years old)

Lower Elementary (6-8 years old)

Upper Elementary (9-12 years old, must be a member)

Kiosk

Other

Service Time Availability *

9 am

11 am

Either

Do you attend Integrity Church?

Yes

No

We would like to verify that you're currently in community here at Integrity Church. Please provide the full name and email of a Member or active attendee and how you know that person. *

First Name

Last Name

Today's Date *

MM

DD

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