Thanksgiving Retreat Staff Application

Thanksgiving Retreat Staff Application
Personal Information
Name*

First NameMiddle NameLast Name
Preferred Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number. By inputting your phone number, you agree to allow the MK Office to use it for notifications/announcements via SlickText or other messaging service
Birthdate*

MonthDayYear
Date
Age*
Shirt Size*
What Region Did You Grow Up In?*
If you grew up in multiple regions, choose the one you have the most connection to.
Please list any musical abilities:
Do you have an interest in serving on the worship team?

YesNo

Health Information
Do you have any health concerns that may prevent your ability to travel/participate?*

YesNo
Have you ever had any physical handicaps, been hospitalized, had any allergic reactions, or had any surgery?*

YesNo
Please explain*
Please list any medications you're allergic to
Please explain any dietary requirements you have below:

Travel Information
City of Departure*
If driving, please note
Airport*
PLEASE PLAN TO BE AVAILABLE FOR TRAVEL THE ENTIRE DAY. YOUR FLIGHT COULD POTENTIALLY BE SCHEDULED TO LEAVE AT ANY TIME THAT DAY. MAKE SURE YOU CHOOSE THE CORRECT AIRPORT.

IF YOU CANCEL YOUR AIRLINE TICKET, YOU ARE RESPONSIBLE FOR ALL CANCELLATION FEES.
Are you willing to serve as a driver?*

YesNo
If you answered yes, you will be contacted by the MK Office so that we can add you to our insurance.
Participation Agreement
Should be Empty:

Personal Information