INDIANA DUNES AWAKENING

REGISTRATION FORM

Please complete this form and mail it with an APPLICATION FEE OF $20 to:

Indiana Dunes Awakening
C/O: Ogden dunes Community Church
116 Hilcrest Road, #113
Portage, IN  46368
 
Name:_____________________________________________________ Sex (M/F)______________
 
Address:___________________________________________  City:__________________________
 
State:____ Zip: ________ Phone:_______________ E-mail:_________________________________
 
Age:____ Grade: ____ School:_________________  Church (if applicable)_____________________
 
Pastor’s Name:_____________________________  Youth Leader’s Name:____________________
 
Parents’ Name(s):___________________________________________________________________
 
Did your parent(s) attend any of the following retreats: Great Banquet / Walk to Emmaus /
 
Cursillo / Tres Dias?__________________________________________________________________
 
Are you on a special diet?_____________  If yes, what kind?_________________________________
 
Do you have any physical, mental, or medical conditions? _______ If so please explain
 
(Including medications):_______________________________________________________________

___________________________________________________________________________________
 

How did you hear about the Awakening? _________________________________________________
 
Sponsor’s Name:____________________________________ Phone:__________________________
 
Applicant’s Signature:_____________________________________ Date:_______________________

Parent’s Consent:________________________________________  Date:_______________________

Preliminary Information:

Please note that there is no charge for this retreat. However, if you wish to contribute towards future Awakening retreats, the estimated cost is $85.00 per person. Please be advised that this is only an application form and does not guarantee acceptance.Early applicants will receive their responses by mail several weeks in advance. If you are placed on a waiting list, you will be notified, as soon a space is available.Upon acceptance of your application, you will receive more information in preparation for an exciting and memorable retread.
IDA JUNE 2002

 

INDIANA DUNES AWAKENING

SPONSOR’S FORM

Please complete this form and mail it with the GUEST REGISTRATION FORM to:

Indiana Dunes Awakening
C/O: Ogden dunes Community Church
116 Hillcrest Road, #113
Portage, IN 46368
GUEST’S
Name: ____________________________________  Sex (M/F)______Phone:________________
 
Address:________________________________City:_________________  State:_____Zip: _____
 
SPONSOR’S
Name:  ______________________________________ Phone: ________________ E-mail _____________________
 
Address:_____________________________  City:____________________State:______ Zip: ______
 
Church_________________________________________ Pastor’s Name:____________________________
 
Which Spiritual retreat did you attend (Awakening, Great Banquet, Walk to Emmaus, Cursillo,
 
Tres Dias) ?_____________________________  #____When: _____Where:_____________________
 
How long have you known this guest?___________________  Relationship:_______________________
 
How do you expect your guest would benefit from the Indiana Dunes Awakening? __________________
 
_____________________________________________________________________ ______________
 
Are you aware of any special PHYSICAL, MEDICAL, EMOTIONAL needs your guest may have?
 
(Yes/No)_____________ If yes, please explain:_______________________________________________
 
_____________________________________________________________________________________

Are you committed to helping your guest through the following? (Yes/No)

Pray faithfully:______  Agape Letters:_______  Agape:_______ Fourth Day:______ Reunion Group: ______

Will you attend:  Sponsor’s Hour:______Candle Light Service:______Closing Worship Service:_____

Will you arrange transportation to and from the Awakening? _____________ How?_______________

SPONSOR’S SIGNATURE:_____________________________________________ Date:_________  


IDA JUNE 2002