-
-
-
-
-
-
- BIRTHDATE*
-
-
-
-
- In which Summer Staff program weeks are you committed to serve? You must commit to a minimum of 2 consecutive weeks. (Select all that apply)*
-
-
- I agree to participate wholeheartedly in the schedule above and to consistently attend all required activities and events. I will communicate early and clearly if any changes occur. I understand that "No call, no show" is unacceptable.*
-
-
-
-
-
- Do you have the full approval, agreement, and support of your parent(s)/guardian(s) to serve at Gleanings in this Summer Staff Preview program?
-
-
-
- HEALTH INSURANCE:*
-
-
-
-
-
-
-
-
-
-
- Are you a Christian?*
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
- Should be Empty: