Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Current Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Camper's Home Phone *

(###)

###

####

Camper's Cell Phone

(###)

###

####

Father's Name *

First Name

Last Name

Father's Cell Phone

Country

(###)

###

####

Mother's Name *

First Name

Last Name

Mother's Cell Phone

(###)

###

####

Have you been baptized to be added to the Lord's church? *

Yes

No

If so, when?

MM

DD

YYYY

Do you indulge in alcoholic beverages, tobacco, and/or drugs? *

Yes

No

Do you have any public speaking experience? *

Yes

No

Have you ever spoken in front of a congregation? *

Yes

No

Have you ever taught a Bible class? *

Yes

No

Can you lead public prayer? *

Yes

No

Can you lead congregational singing? *

Yes

No

Do you have any commitments that would require you to leave camp early? *

Yes

No

Elder's name

First Name

Last Name

Elder's Phone

(###)

###

####

Preacher's Name

First Name

Last Name

Preacher's Phone

(###)

###

####

Youth Minister's Name

First Name

Last Name

Youth Minister's Phone

(###)

###

####

Confirmation *

I confirm that all of the statements on this application are true.

Commitment *

I commit to do my best to make Future Preacher's Training Camp the best it can be