Candidate Sign Up Form

Candidate Sign Up Form
Candidate Name*

First NameLast Name
Candidate Birthdate (Must be 21 years of age to attend)*

MonthDayYear
Date
Candidate Address*

Street Address

Street Address Line 2

CityState

Zip Code
Candidate Phone Number*
Please enter a valid phone number.
Candidate Email*
example@example.com
Candidate T-shirt Size
Candidate Gender*
Candidate Special Accommodation
Candidate Dietary Restrictions
Candidate Home Church
Candidate Sponsor*

Sponsor First NameSponsor Last Name
Sponsor Email
example@example.com
Sponsor Phone Number
Please enter a valid phone number.
People You Would Like to Pray For You

Please list four people that will be praying for you on your weekend.
Person to Pray #1

First NameLast Name
Pray#1 Email
example@example.com
Pray#1 Phone Number
Please enter a valid phone number.
Person to Pray #2

First NameLast Name
Pray#2 Email
example@example.com
Pray#2 Phone Number
Please enter a valid phone number.
Person to Pray #3

First NameLast Name
Pray#3 Email
example@example.com
Pray#3 Phone Number
Please enter a valid phone number.
Person to Pray #4

First NameLast Name
Pray#4 Email
example@example.com
Pray#4 Phone Number
Please enter a valid phone number.
Internal Audit Information

DO NOT FILL OUT THIS SECTION
*ATTENTION - CANDIDATE AND SPONSORS*

DO NOT FILL OUT THIS SECTION. THIS IS FOR OUR PRE WEEKEND TEAM ONLY
Payment Note
Payment Method
Date Paid

MonthDayYear
Date
Should be Empty:

People You Would Like to Pray For You