2021 Awakening Retreat Staff Sign-Up
Please fill out this form and click submit.
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Address
*
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Gender
*
Please select one option.
F
M
T-Shirt size
*
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Small
Mediam
Large
Unnamed Label
*
Please select all that apply.
Staff
Retreat Participant
Local emergency contact
*
Emergency Contact
*
Parent's name
*
Parent's phone number
*
Parent’s email
*
Allergies and medications
Role you are applying for
*
Please select one option.
Table
Kitchen
Music
Which position do you feel most called to and why? (Table, Kitchen, and Music)
*
Are you willing to fast (from meals, a favorite food, or social media, etc.) in the week leading up to the retreat? □ Yes □ No Do you have any other ideas of how staff can fast or add a meaningful activity prior to the retreat?
How do you live out your faith on a daily basis?
*
How well do you work with other people such as delegating tasks, etc.?
*
Payment
45.00
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
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