Providence Youth Connection Card | Providence Mennonite Church

Name (Required)

Email Address (Required)

Birthday

Address

Phone Number

Emergency Contact

In the event of an emergency, who do we contact? Phone number?

School

Grade

School Activities

Have you been baptized?

Yes

Are you a member of your church?

Yes

Do you play an instrument? If yes, which one(s)?

Would you be willing to play or sing for a Youth Worship Team?

Yes

Solve 2 + 7 = ?

Providence Mennonite Church