Nursery Sign-Up: Teen Caregiver

Nursery Sign-Up: Teen Caregiver
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent's Phone Number*
Please enter a valid phone number.
Parent's Email*
example@example.com
Birthday*

MonthDayYear
Date
Drag the Mass times in order of your serving preference:*
Are you available during the week to work evening meetings?*
Have you been vaccinated?
The Diocese of Peoria requires everyone 18 years of age or older who volunteer to work with minors to complete the "Safe Environment" online training. To complete the training, visit https://stpatrickmerna.org/training/ or contact Pam Goode at nursery@stpatrickmerna.org.
I promise to serve the children in our parish nursery by reading to them, playing with them, and seeing them as the special gift from God that they are.*

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