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Exec. Retreat
First Name:
Last Name:
Email Address:
Church Address:
City:
State:
Zip Code:
Church Phone:
Cell Phone:
What is your church involvement?
Staff
Volunteer
Staff: Title/Position
Did you serve on Executive Staff at Super Summer 2011?
Yes
No
What area did you serve?
Dean
Assistant Dean
Team Lead Coordinator
School Coordinator
Team Leader
Office
Other
N/A
(If OTHER please list what area you served.)
What color?
Red
Blue
Orange
Yellow
Green
Silver
Purple
N/A
What week did you attend in 2011?
Week 1
Week 2
Week 3
More than 1 week
N/A
What week do you plan to attend in 2012?
Week 1 (June 4th - 8th)
Week 2 (June 11th - 15th)
Week 3 (June 18th - 22nd)
Available more than 1 week
By checking "I agree," I understand that it is mandatory to attend the executive staff retreat February 27th & 28th, 2012 in order to be able to serve as an executive staff member.
I agree
Location:
Sullivant Retreat Center
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Dates:
February 27th & 28th, 2012
*All form values are required for submission.