Candidate Sign Up Form

Candidate Sign Up Form
Candidate Name *

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

Month Day Year
Date
Candidate Address *

Street Address

Street Address Line 2

City State

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 Name Sponsor 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 Name Last Name
Person to Pray #2

First Name Last Name
Person to Pray #3

First Name Last Name
Person to Pray #4

First Name Last Name
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

Month Day Year
Date
Should be Empty:

People You Would Like to Pray For You