Dear Fellow Youth Worker,

For your protection and our children’s, we need you to complete the attached information form. Because of insurance requirements, we need to have this information on file along with reference checks for all teachers, leaders and workers in the youth ministries.

This information will be kept completely personal and confidential.

Thank you in advance for taking the time to provide us with the information.

May the Lord continue to bless the youth ministries of Emmanuel Community Church

In Christ, Pastor Don Meckley

Christian Education Committee

Train up a child in the way he should go;
   even when he is old he will not depart from it.

Proverbs 22:6