B17′ Online Registration Form

2017 BRIDGE RETREAT - REGISTRATION FORM
Youth: Enjoy your second year of completing the form online 🙂 You guys did great last year and we ask you to do it early this year. All information is confidential and will only be used by BRIDGE staff. We will see you soon!


Adults: Please complete this application carefully and prayerfully. All information is confidential and will only be used by BRIDGE staff. Also we are asking all the counselors to commit to our December training sessions to the best of their abilities. We want to make sure we do our part in training and preparing your hearts to be like-minded and equipped so that we can better serve our students and glorify God in every aspect of our ministry efforts.

**This year, COUNSELORS will be led through a few additional pages about their spiritual backgrounds and personal walks with Christ. It will take anywhere from 10 to 20 minutes to complete depending on your answers. If you served as one of the counselors since BRIDGE 2014 (any other previous years do not count), your form has shortened so it shouldn't take as long.

* Required
Basic Information
Registration Type *
Name *
Your answer
E-mail *
Your answer
Phone Number *
Your answer
School/Work
Your answer
Grade/Year (2017-2018) *
Choose
6th
7th
8th
9th
10th
11th
12th
Freshman - College
Sophomore - College
Junior - College
Senior - College
Grad school
Working
Gender *
Required
T-shirt Size *
Required
Do you currently attend a church? *
If yes, which church do you attend? *
Will this be the first time attending BRIDGE? *
Required
Do you know Jesus Christ as your personal Lord and Savior? *
Required
Will you commit yourself to pray at least one minute every day for BRIDGE '17 and leading up to it? *
Any prayer requests?
Your answer
Emergency Contact Information
Contact Name *
Your answer
Contact's Phone Number *
Your answer
Relationship *
Required
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