Updating The List 

 

 

 

Weve got lots of you on our list, but there are also lots we dont have on our lists and we always need to update the ones we have. To let us better keep you informed about what is going on please take the time to fill one of these out.

 

NAME:_____________________________________

 

SENIOR HIGH______

 

JUNIOR HIGH______

 

GRADE: ___ BIRTHDAY:_______

 

HOME PHONE:______________________________

 

CELL PHONE:_______________________________

 

E-MAIL ADDRESS:____________________________

 

SCHOOL ATTENDING:__________________________

 

MAILING ADDRESS:____________________________

 

PARENTS NAMES:_________________________________

 

PARENTS E-MAIL:__________________________________

 

EMERGENCY INFO:

PARENTS CELL:____________________________________

OR EMERGENCY CONTACT AND NUMBER

NAME:____________________________________________

NUMBER:_________________________________________

 

RETURN TO MOLLY MUTHER OR THE YOUTH MAILBOX OUTSIDE THE CHURCH OFFICE

 

 

PLEASE PRINT CLEARLY!!!!!!