Application for LIFE 2019
Answer each of the following questions below as thoroughly as possible. If you have any questions, contact Pastor Matt at mmlinarcik@1stalliancechurch. com
Full Name *
Your answer
Address *
Your answer
Phone Number *
Your answer
Email *
Your answer
Date of Birth *
MM
/
DD
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YYYY
Gender
How would you describe your current relationship with Christ *
Your answer
What talents and gifts has God equipped you with? *
Your answer
What do you expect to learn on this trip? How do you hope to be changed? *
Your answer
Present health condition *
Explain any health conditions (if needed)
Your answer
Are you presently covered by health insurance *
Check all that apply to you and provide a concise explanation *
Required
Health explanation: *
Your answer
T-Shirt Size *
By signing my name below I state that I understand my responsibilities in terms of financial commitment and attendance at team meetings, and other areas of preparation. *
Your answer
If the applicant is under 18, a parent or legal guardian must also sign below: By placing my signature below, I, the parent/legal guardian of the above applicant understand the responsibilities in terms of financial commitment, attendance at team meetings, and other ares of preparation. I hereby give my child permission to participate. *
Your answer
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