Name Proposed Director:_____________________________________________ Date: __________

Address: _______________________________ City ____________________ Postal Code: ________

Day Phone: _______________________________ Evening Phone: ___________________________

Email: _________________________________________________                                   Sex: _____     


Affirmations:

___ I am a born again Christian

___ I have read and understood the “You Can Still Pray in School” Campaign Legal Guidelines.

___ I am capable of explaining the legal guidelines to parents and children in simple language

___ I agree to comply with guidelines set forth by Concepts of Freedom Ministries

___ I agree that I will not become confrontational with public school officials in the matter of prayer in             school.

___ I agree that I will keep Concepts of Freedom Ministries informed as to the progress of our chapter of the
“You Can Still Pray in School” Campaign in a timely manner. (An informal report is appreciated after each meeting.)


By signing below I affirm that this chapter of the “You Can Still Pray in School” Campaign will operate in accordance with the Concepts of Freedom Guidelines.


Signature: __________________________________________     Date:_____________________

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Concepts of Freedom Ministries