Agape Child Care Ministry and Preschool
College Scholarship Form
SCC Youth Permission Slip
CONGREGATION DIRECTORY INFORMATION - FOR THE CHURCH FAMILY
Your Email Address
This will not be shown in the directory
Spouse's Email Address
This will not be shown in the directory.
Directory Phone Number
This phone number will be listed in the directory. It can be your home number or a cell phone, whatever you prefer.
Your Cell Phone
This phone number will not be in the directory unless it is the number you used for the Directory Phone Number.
Spouse's Cell Phone
This number will not be listed in the directory unless it is the phone number you used for the Directory Phone Number.
CHILDREN (living with you/in college) FIRST & LAST NAME, BIRTHDATE, & GRADE LEVEL
Please list your children that live with you. You may include your college students as well. Please include their name, birthday and current grade in school.