Student Name *

Please fill out a form for each child attending!

First Name

Last Name

Guardian Name *

First Name

Last Name

Birthdate *

Kids must be 4 years old by June 23rd to participate. They can participate for the final year once they have graduated 5th grade.

MM

DD

YYYY

Phone *

(###)

###

####

Bus Ministry? *

Limited Space Available. First Come, First Served. Must live in Wellington city limits.

Yes

No

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Name *

First Name

Last Name

Phone *

(###)

###

####

Select the areas you'd MOST like to work in! *

Rec

Craft

Music/ Skits

Audio/Video

Snack

Lesson

Registration

Guide

Nursery (workers kids only)

I'll work anywhere!

Select the areas you'd LEAST like to work in! *

Rec

Craft

Music/Skits

Audio/Video

Snack

Lesson

Registration

Guide

Nursery (workers kids only)

I'll work anywhere!

Do you attend Wellington FWB Church? *

Yes

No

Have you had a background check ran with our church?

Yes

No