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Home > Mission Opportunities > Adult Opportunities > Campers on Mission > Campers on Mission Enrollment Form

Campers on Mission Enrollment Form

Personal Information

Last Name: 
First Name: 
MI 
Preferred Name: 
Birthdate (Self): 
Spouse Name: 
Spouse Preferred Name: 
Birthdate (Spouse): 
Address: 
City: 
State/Province: 
ZIP/Postal Code 
Home Telephone: 
Cell Phone: 
E-mail Address: 

Church Membership

Church Name: 
Address: 
City: 
State/Province: 
ZIP (9 digit): 
Telephone: 
E-mail: 
Pastor's Name: 
Association: 
Church Denominational Affiliation: SBC
 Other (Specify Below)
 

Interests/Talents/Gifts

Your Interests/Talents/Gifts: Campground Ministries
 Church Planting
 Construction/Maintenance
 Disaster Relief and Recovery
 Fairs/Festival/Special Events
 Community Surveys/Revivals
 Sharing Personal Testimony
 State Convention Booths
 VBS/Bible Studies, etc.
 Clowning/Balloon Sculpture
 Raceway Ministry
 Seamen's Ministry
 Medical/Dental
 Other (Describe Below)
 
List Areas of Special Training and/or License:
Spouse's Interests/Talents/Gifts: Campground Ministries
 Church Planting
 Construction/Maintenance
 Disaster Relief and Recovery
 Fairs/Festival/Special Events
 Community Surveys/Revivals
 Sharing Personal Testimony
 State Convention Booths
 VBS/Bible Studies, etc.
 Clowning/Balloon Sculpture
 Raceway Ministry
 Seamen's Ministry
 Medical/Dental
 Other (Describe Below)
Spouse's Areas of Special Training or License:

Emergency Contact

Name: 
Address: 
City: 
State/Province: 
ZIP/Postal Code: 
Telephone: 
E-mail Address: 
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