Gulf Coast Tres Dias Application
Please complete the application using the field labels from the source document. Group related fields into the sections shown and use the attachment for field accuracy.
Attendee/Applicant Information
Full Name of Attendee
*
First Name
Last Name
Attendee Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Applicant Gender
*
Please Select
Male
Female
T-shirt Size
Please Select
S
M
L
XL
XXL
XXXL
Other
Preferred Name for ID Badge
Cell Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Home Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Health & Special Needs
Medical Conditions we need to be aware of
Physical Limitations
Dietary Restrictions
Ministry/Church Role
Are you an Ordained Minister, Pastor, or Leader in your church?
*
Yes
No
If yes, please explain
Emergency Contact
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Church Information & Leader Endorsement
Name of Church You Actively Attend
*
City & State
*
Church Leader's Name & Title
*
Title
First Name
Last Name
Church Leader Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Church Leader Email
example@example.com
Church Leader's Signature
*
Weekend Selection
Weekend Date You Wish to Attend (Men)
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Weekend Date You Wish to Attend (Women)
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Statement of Belief
GULF COAST TRES DIAS - PURPOSE AND STATEMENT OF BELIEF The purpose of a Tres Dias Weekend is to bring Christians to a closer, more personal, walk with their LORD, Jesus Christ and encourage them to Christian Leadership and Apostolic Action in their environment. The Gulf Coast Tres Dias statement of beliefs explains our allegiance to The Savior, our dedication to the work of His Kingdom and our stand for the truth. We believe and profess: A. Our faith in one Triune God – God The Father, God The Son and God The Holy Spirit. (Matthew 28:19) B. That Jesus Christ is the only Savior and is God in the flesh. (John 1:1-14, 14:6, Hebrews 2:17) C. That The Holy Spirit is God and is The LORD and Giver of Life, who continues to work today in believers to sanctify, edify and empower the whole Christian church on earth for His purposes. (Acts 1:8, John 14:26, Romans 8:11, Job 33:4) D. That The Holy Scriptures are the inspired and completely true Word of Almighty God. (II Timothy 3:16-17) E. That all have sinned and fallen short of the glory of God, that forgiveness of sins is received through confession and repentance, and that our sins are washed away through the blood of Jesus Christ. (Romans 3:23, Job 33:4) F. That salvation is a gift of God's grace, received through personal faith in Jesus Christ. (Ephesians 2:8) G. That the Body of Christ is to make every effort to keep the unity of the Spirit through the bond of peace until we reach unity in the faith and the knowledge of The Son of God. (Ephesians 4:3, 4:13) H. That God's unconditional love, as made manifest to us through Jesus Christ is the primary witness by which people are renewed, edified and changed. (I Corinthians 13:8) I. That God has called us to live holy lives that will bring glory to His name. (Colossians 3:1-25)
Agreements & Signatures
Applicant Agreement to Statement of Beliefs and Participation
*
I agree
Applicant Signature
*
Sponsor Information
Sponsor's Name
*
First Name
Last Name
Sponsor's CELL phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Sponsor's Email
*
example@example.com
Submit
Submit
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