WKTD Candidate Sign Up Form

Candidate Sign Up Form
Welcome to the Western Kentucky Tres Dias Application Form. Please fill out all fields as accurately as possible to ensure your application is received and processed for the selected weekend.

In order to secure a spot on the weekend, candidate fees ($50.00) can be paid online or during team meetings. If you have questions about the cost and payment for the weekend, please speak to the pre-weekend couple or sponsor.

For questions, please email: wktdpreweekendc@gmail.com
This form being submitted by*

SponsorCandidate
Weekend Type*

Men's WeekendWomen's Weekend
Men's Weekend and Dates
Women's Weekend and Dates
Candidate Information
Marital Status*
Weekend Attendance*

IndividualCouple
Candidate #1 Name*

First NameLast Name
Candidate #1 Birthdate*

MonthDayYear
Must be 21 years of age to attend
Candidate #2 Name

First NameLast Name
Candidate #2 Birthdate

MonthDayYear
Must be 21 years of age to attend
Candidate Address*

Street Address

Street Address Line 2

CityState

Zip Code
Candidate #1 Phone Number*
Please enter a valid phone number.
Candidate #1 Email*
example@example.com
Candidate #1 T-shirt Size*
Candidate #1 Gender*
Candidate #1 Special Accommodation
Candidate #1 Dietary Restrictions
Candidate #2 Phone Number
Please enter a valid phone number.
Candidate #2 Email
example@example.com
Candidate #2 T-shirt Size
Candidate #2 Gender
Candidate #2 Special Accommodation
Candidate #2 Dietary Restrictions
Emergency Contact
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Home Church and Pastor Information
Candidate's Home Church*
Candidate's Standing within Church*

Christian (Lay Person)Clergy
Pastor's Name*

First NameLast Name
Pastor's Phone Number*
Please enter a valid phone number.
Pastor's Email
example@example.com
Sponsor Information
Candidate Sponsor*

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

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

First NameLast Name
Phone Number
Please enter a valid phone number.
Person to Pray #2

First NameLast Name
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:

Candidate Sign Up Form

Candidate Information

Emergency Contact

Home Church and Pastor Information

Sponsor Information

People You Would Like to Pray For You

Internal Audit Information