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application should be filled out by each applicant and returned to either Beau Hartweg or Rachel Mileur by Sunday, February 5th. Last name: First Name: Address: City: Zip: Home phone: Email: Date of Birth: Age: Have you accepted Jesus Christ as your savior? YES NO What does it mean to be a Christian? Tell about a time you felt closest to God: Why do you want to go on this trip? What do you like to do in your free time? Date Signed

___________________________________________ Parent Signature

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