Young Ladies Ministry

Young Ladies Ministry Application

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home Phone

(###)

###

####

Mobile Phone

(###)

###

####

Email

Age

Date of Birth

MM

DD

YYYY

School

I hereby give permission for images of my child, captured during her participation with the Young Ladies of Winning Women group through social media, video, photo and digital camera, to be used solely for the purposes of promotional material and publications, and waive any rights of compensation or ownership thereto.

Name of Parent/Guardian

First Name

Last Name

Address of Parent/Guardian

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home Phone of Parent/Guardian

(###)

###

####

Mobile Phone of Parent/Guardian

(###)

###

####

Email of Parent/Guardian

You can also email your completed application to youngladiesofww@yahoo.com.

Or mail your completed application to P.O. Box 1917, Lemon Grove, CA 91946.

Zoom information will be provided to registered young ladies.