Adventure 1:16 Enrollment

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This form is to enroll students for the Adventure 1:16 Leadership Training program at Bridge of Faith Community Church. This program captures the art of connecting with others. Our students will experience social, emotional, and personal growth through adventure, service, and study. Breakfast and lunch are served each day, too!

Dates: July 9-25 , Tues, Wed, Thurs
Time: 10 am start time, end times may vary based on daily activities
Ages: Entering 7-10th grade in 2024-2025 school year

The program is geared toward students entering 7th-10th grade, but students entering 11th and 12th grade are also welcome! Transportation is available within 5 miles of the church.

If you have any questions or need additional information, you can contact the church office by calling (417)561-0777 or emailing info@bridgeoffaithcc.com.

Email *

Student First Name *

Student Last Name *

Student Age

Student Date of Birth *

YYYY

Student Gender:

Male

Female

Clear selection

Student ethnicity:

Our grant funding for the summer food program requires us to track ethnicity. This information is kept confidential and only used to report percentages of our population.

American Indian or Alaska Native

Asian

Black or African American

Hispanic or Latino

Native Hawaiian or Other Pacific Islander

White

Other:

Student Grade for the 2024-2025 school year

Student T-shirt size

Has this student participated in the Adventure 1:16 program previously?

No, this will be my first time.

Yes, I have participated one previous year.

Yes, I have participated two previous years.

Clear selection

Does this student know how to swim?

Will this student miss any days for planned activities? Our dates are Tues-Thurs July 9-25.

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