Wufoo

The GENERAL Stuff

This general information is needed for contact purposes and for our records.
Name First Last
Gender
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email
Home Phone Number ### - ### - ####
Cell Number ### - ### - ####
Texting Number (leave blank if not different from Cell Phone) ### - ### - ####
Parents Names and Emergency Contact Information
Please list any health issues, dietary restrictions and/or allergies
The GOD Stuff

This is not a test! I repeat, this is not a test! These questions simply tell us some things about where you're at so we know how to move forward in preparing our group for the trip.
How is your relationship with Jesus right now?
Never Better! Good, but I know I need to work on some things. Not horrible, but defnitely could be better. I know that I'm not living for Him right now.
In a few sentences, tell how you came into a relationship with Jesus.
Have you ever gone on a missions/ministry trip before?
Yes No
If yes, please describe your previous experiences in a couple of sentences
In a few sentences, tell what areas you think you would be most effective on a trip like this. (working with kids, drama, behind the scenes work, talking with people one-on-one, photography/videography, etc.)
In a sentence or two tell us what you're the most excited and/or nervous about.
Do Not Fill This Out

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