Junior CE Worker Questionnaire

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* 1. Contact Information

Name:

Parent's name:

Address:

Phone number:

Email:

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* 2. Campus

CrossWinds Church commits to assure properly qualified and trained persons serve our children's ministries. We also recognize that young persons can bring valuable support to our children’s ministry staff and welcome you to assist us in caring for children.

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* 3. My experiences in child care or working with children's ministry include:

I understand the scope of my commitment:

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* 4. I will always work under the care of a qualified and trained Children’s Ministry worker and will not work with children by myself alone.

Yes

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* 5. I will follow all rules related to taking children to bathroom.

Yes

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* 6. Signature: please type your full first and last name

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* 7. Date on which this was completed

Date