CHURCH OF PENTECOST CHURCH OF PENTECOST

ENGLISH ASSEMBLY, ADIENTEM DISTRICT ENGLISH ASSEMBLY, ADIENTEM DISTRICT

CHILDREN’S MINISTRY DATA FORM CHILDREN’S MINISTRY DATA FORM

Name of child: Name of child:

________________________________________________ ________________________________________________

Age of child: _____________________________________ Age of child: _____________________________________

Number of siblings: _______________________________ Number of siblings: _______________________________

Name of Parent/Guardian: Name of Parent/Guardian:

_______________________________________________ _______________________________________________

Church of Parent/Guardian: Church of Parent/Guardian:

________________________________________________ ________________________________________________

Contact details of Parent/Guardian: Contact details of Parent/Guardian:

________________________________________________ ________________________________________________

Date of dedication: ________________________________ Date of dedication: ________________________________