Name *

First Name

Last Name

Gender *

Male

Female

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Training *

Please choose all that apply - use the space below to elaborate on each checked skill.

Dance

Music

Percussion

Gymnastics

Martial Arts

Theatre

Education *

Please indicate the highest level of education that you have completed

GED

High School Graduate

Some College

Ministry School

College Graduate

Post College Graduate

Do you have a current passport? *

Yes

No

Date of Expiration

MM

DD

YYYY

Please read carefully before checking the box *

By checking this box, I certify that all information in this application is complete and accurate. If accepted to trEd Summer Outreach, I will abide by the spirit, rules, and schedule of the program. I understand that any and all Confidential Evaluations in my file are property of trEd, and I relinquish the right to view them or obtain information from them in any way. In accordance with biblical principles, I agree to resolve any and all disputes with trEd Dance Ministries, its directors, or staff by means of reconciliation or mediation and waive any right to pursue action by way of litigation.

Today's Date *

MM

DD

YYYY