CANDIDATE APPLICATION

CANDIDATE APPLICATION

Texas Gulf Coast Via de Cristo
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
Date

MonthDayYear
E-mail*
HOME CHURCH*
GENDER*
AGE*
CHECK ONE*

LAY PERSONCLERGYSAM MINISTERLAY MINISTER
MARITAL STATUS*

MARRIEDSINGLEWIDOW/WIDOWER
REASON TO ATTEND*
MEDICAL / DIETARY NEEDS
PARTICIPANT'S COVENANT: As a participant in the Via de Cristo Weekend, I will:
- Complete this Pilgrim Application and pay all financial obligations before the start of the weekend.
- 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.
SPONSOR: I AGREE TO PREPARE THIS APPLICANT FOR THE 3-DAY WEEKEND AND HELP THE APPLICANT TO CONTINUE TO GROW IN FAITH AFTER THE WEEKEND.
SPONSOR NAME*
SPONSOR EMAIL AND PHONE *
WEEKEND FEE IS $250. THE APPLICANT MAY PAY A DEPOSIT OF $40 NOW AND THE REST WHEN THEY ARRIVE ON THE WEEKEND or PAYMENT CAN BE MADE BY PAYPAL