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North/East Texas NYI Fall Retreat FUSE 2020 Adult Registration
Please fill out each form. **Reminder a ministry safe or Nazarene safe completion certificate is required and background checks will be ran on each adult volunteer**
November 20th - 22nd
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* Indicates required question
Last Name
*
Your answer
Middle Name
*
Your answer
First Name
*
Your answer
Preferred Name
*
Your answer
Address
*
Your answer
City, State, Zip
*
Your answer
Cell Phone - format (xxx)xxx-xxxx
*
Your answer
Email Address
*
Your answer
Birth Date
*
MM
/
DD
/
YYYY
Drivers License # (For background check purposes)
*
Your answer
State issued
*
Your answer
Gender
*
Female
Male
Church Name
*
Your answer
Emergency Contact Name
*
Your answer
Emergency Contact Number
*
Your answer
Emergency Contact Relationship
*
Your answer
Have you completed a Ministry safe or Nazarene Safe training in the last two years? (as of November 22, 2018)
*
Yes
No
If you have not completed one are you willing to go through the training before November 2020? An Email will be sent to you to complete the training.
*
Yes
No
I Have Already Completed The Training
Do you acknowledge the importance of each volunteer completing this training?
*
Yes
No
Do you acknowledge that a physical copy of your certificate of completion MUST be brought with you to camp?
I acknowledge
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