CHALLENGE 2008

Get ready for the time of your life! By electronically submitting this form, you are requesting a spot for Challenge 2008...Building Relationships & Community. Once this application is received, then you will receive more information from one of the Challenge Coordinators.
APPLICATION INFORMATION
Name:
 Last  First:  Middle:
Preferred
Home Address:
Street:  City:  State:  Zip:
Phone: (Please provide the area code)
Email Address:
Physical or Health Disabilities (if any):
Special Dietary Concerns (if any):
In case of emergency, notify:  Phone
Gender: Age T-Shirt Size
Philanthropic Interest (Rank 1-3, with 1 being the highest interest):
Construction (e.g., Habitat for Humanity)
Children (e.g., Stewpot Daycare Center)
Special Needs People (e.g., The Mustard Seed)

Please mark which week you wish to attend.
(If you are open to either week, please indicate your 1st and 2nd choice):
June 16 - 20, 2008
June 30 - July 2, 2008