refuge kids serve form

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Name *
Name
Date of Birth
Date of Birth
Phone
Phone
Address
Address
Previous Church experience
This form must be completed by all persons interested in any position involving the supervision or care of minors. It will be used by Refuge Church to help provide a safe environment for those children and youth who participate in our church programs. I hereby release and hold harmless from liability all persons, organizations, or other entities which provide references or information to Refuge Church with regard to me or my background. I also release and hold harmless from liability Refuge Church, its clergy staff, employees and volunteers with regard to any decision that is made on my application. *
Available Positions