TEAM APPLICATION - Texas Gulf Coast

CHECK ONE*

FALL WEEKEND Camp Lone Star Pines Septmenber 14-17, 2023

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*

PRIOR TEAM EXPERIENCE

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 $240 TO BE PAID BEFORE THE 3RD 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*

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.

TEAM COVENANT: AS A "TEAM" MEMBER I AM WILLING TO:

Be supportive of the Via De Cristo method as contracted by the Texas Gulf Coast Via de Cristo Secretariat with the National Lutheran Secretariat Constitution and Bylaws.
Offer my sevices to the Lord in the position to which He calls me with the spirit of servanthood, coopertion, and joy.
Attend all of the preparatory Team Building Meetings, and attend the full weekend (Thursday afternoon through Sunday cleanup).
Complete this team application and pay all the financial obligations before the start of the weekend.
Abide by the Camp's drug, alcohol, and tobacco free policy.
Abide by the rules of the State of Terxas (current as of Sept. 1, 2023) concerning COVID-19 Health and Safety Guidelines and Recommendations for indoor and outdoor gatherings.
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/ ____ I DO NOT (check one) grant prmission to TGCVDC to create, copy, reproduce, exhibit, publish, or distribute my image.
I understand that as a member oaf the TGCVDC 4th Day Community, my name, address, phone number, email and home church name will be listed in the Membership Roster/Email list of the TGCVDC for VDC use only, and will only be accessible to other TGCVDC members.
My submission indicates my agreement to the above guidelines, my commitment to support my fellow team members and my promise to keep the Team Members and the Pilgrims in prayer.