TEAM APPLICATION - Texas Gulf Coast

CHECK ONE*

SPRING WEEKEND Camp Lone Star Pines January 30 - February 2, 2025Other
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
HOME CHURCH*
I HAVE SERVED ON
MEDICAL / DIETARY SPECIAL NEEDS
CHECK ONE*

LAY PERSONCLERGYSAMS MINISTERLAY MINISTER
If prior experience in many areas, you may list them here instead of checking boxes. If you served on weekend #8, or #9 you may just type Reported. *
PRIOR TEAM EXPERIENCE

RECTORSPIRITUAL DIRECTORKITCHEN LEADERDINING ROOM LEADERROLLO ROOM LEADERMUSIC LEADERCABINS/REGISTRATION LEADERGENERAL PALANCAASSIST. RECTORASSIST. SPIRITUAL DIRECTORKITCHEN TEAMDINING ROOM TEAMROLLO ROOM ASSISTANTMUSIC TEAMCABINS/REGISTRATION TEAMSILENT TABLE LEADERPALANCA RECTORPALANCA SPIRITUAL DIRECTORCHAPEL LEADERMAIL ROOM LEADERCOMPUTER LEADERCOMPUTER ASSIST.ASSIST. PALANCA RECTORASSIST. PALANCA SPIRITUAL DIRECTORCHAPEL TEAMMAIL ROOM TEAMFINANCIAL LEADERFINANCIAL ASSIST.
LIST ANY ROLLOS YOU HAVE GIVEN
ANY POSITION YOU CANNOT FILL?
PREFERRED WORK AREA*
IF TEAM HAS SPECIAL DIETARY NEEDS THEY SHOULD BRING THEIR OWN FOOD AND SPEAK WITH KITCHEN STAFF ABOUT SERVING..... PLEASE EXPLAIN BELOW
I REQUIRE SPECIAL ACCOMODATIONS FOR THE FOLLOWING . PLEASE EXPLAIN
FOOD / DRUG ALLERGIES
MEDICAL PROBLEMS
THIS FORM GOES DIRECTLY TO OUR REGISTRAR. THE FEE IS $250 TO BE PAID BEFORE THE 2ND TRAINING SESSION. You may go online tgcvdc.org PayPal. Please state in the box below which form of payment you are paying with.
FORM OF PAYMENT, IF SENT ONLINE PLEASE STATE. IF NOT YET PAID, PLEASE STATE HOW FEE WILL BE SUBMITTED*
PARTICIPANT'S COVENANT: As a participant in the Via de Cristo Weekend, I will:

Complete this Team Application and pay all financial obligations before January 11, 2025.
Abide by the Camp's drug, alochol, and tobacco free policy.
I understand that photographs may be taken during the VDC weekend which may be used on a website, multimedia or promotional media existing now or in the future. I DO grant permission to TGCVDC to create, copy, reproduce, exhibit, publish or distribute my image. If you DO NOT, please let the registrar know when you arrive at the camp.
I underestand that upon the completion of the weekend, my name, address, phone number, email and home church will be entered in to the membership/email roster of TGCVDC for VDC use only, and will only be accessible to other TGCVDC members.
My submission indicates my agreement to the above Covenant.

IN CASE OF EMERGENCY CONTACT - INFORMATION BELOW
CONTACT FOR EMERGENCY*

First NameLast Name
EMERGENCY CONTACT HOME PHONE*

Area CodePhone Number
EMERGENCY CONTACT CELL PHONE

Area CodePhone Number
EMERGENCY CONTACT EMAIL
EMERGENCY CONTACT RELATIONSHIP *
ANY FURTHER COMMENTS
NOTE: Please complete or verify information at Registration Table at the weekend.