• Are you filling this form out as an individual or on behalf of a small group/youth group/etc.?*
  • Your Contact Information:

  • Format: (000) 000-0000.
  •  - -
  • Most effective way to contact you?*
  • Parent Contact Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Tell us a little more about yourself:

  • Which Detour Program are you applying for?*
  • Health Information

  • Have you had/do you currently have any chronic health issues that would impede your ability to adjust to changes of climate, diet or other standards of living?*
  • Have you ever experienced any mental or emotional difficulties such as (but not limited to): depression, eating disorders, suicidal thoughts, obsessive compulsive disorders or others?*
  • Have you ever struggled with addiction or substance abuse?*
  • Are there any special considerations or amenities you need due to a health related condition?*
  • Spiritual Life Information

  • Rate how much of a risk taker you are:*
  • How do you recharge your energy?*
  • Do you prefer....?*
  • Which describes you most?*
  • When making decisions, what is your process?*
  • References:

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Statement of Agreement

    I have sensed God's direction in submitting this application for Detour. I trust and accept the discernment of the review team and will abide by their decision. In the event of my acceptance, I agree to abide by all present and subsequently issued policies of Detour. I clearly understand that if accepted, full payment for the total cost of the program is solely my responsibility, and that I am responsible for all expenses incurred on my behalf in the event I should voluntarily leave or be excused from the program due to disciplinary actions taken.
  • I have read and fully agree with above statement.*
  • Group Application:

  • Format: (000) 000-0000.
  • Best way to contact you:*
  • Which Detour dates are you applying for?*
  •  - -
  • Should be Empty: