EXODUS DISCIPLES & MENTORING 2019
GATHER AND SERVE IN YOUR LOCAL AREA
Important Medical, allergy or other info we should know
2019 Team Number and/or Team Leader
I am signing up for:
EXODUS DISCIPLES AND MENTORING
If you are NOT signing up for EXODUS DISCIPLES - go to next question. What region would you like to serve in?
North West (Derry)
North East (Coleraine)
Antrim, Ards & Armagh (Ballynahinch, Carrick, Bangor)
South Down & Louth (Newcastle & Banbridge)
Do you have anyone in mind to ask to be your mentor? (If not we can find you one)
If you answered YES to the last question - please provide their name and number.
During the programme(s), photographs may be taken for use on our website, social media, or printed materials. These will be stored digitally and securely and only accessible by individuals for use in these ways.
Please tick to confirm you are happy with this
Send me a copy of my responses.
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