Roots Application
Baptist Youth Camp
Full Name
*
First Name
Last Name
Mailing address
Phone Number
*
Format: (000) 000-0000.
E-mail
Please share your testimony of how you came to know Jesus:
How are have you been growing in the Lord in the past year?
How would someone describe you?
Tell us about yourself, what do you enjoy...
Why would you like to participate in the Roots program?
Please provide 2 references (it would be helpful if one were a leader at your church or youth group)
Rows
Full Name
Email Address
Contact Number
1
2
Digital Signature : By typing your full name below you are indicating that the above information is true.
*
Today's Date
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