Group Application Participant List

Church/Organization*

Group Leader*

First Last

Email*

Phone*

Participant List

A participant list to be filled out by the group leader. Please note that by listing people on the participant list you are indicating to us that you not only recommend them for this outreach but that you agree to offer general leadership to them within the context of the outreach. Please only list people that you believe are:

Christians living under the lordship of Jesus.
Physically and emotionally suited for this outreach.
Willing to listen to and follow instructions.

Participant List*

Full Name	Gender	Birth Date	T-shirt Size	Any Known Medical Conditions?	Student or Adult Leader?