Please provide details for your pastor / youth leader, We will contact them as a reference for your application.
Please select your top 2 outreach locations. If your first option is already full you will be offered the next available location.
Please provide the details of your parent / guardian if you are under 18. If you are over 18 please provide the details of a friend / relative that has known you for at least the previous 2 years.
When you submit your application you will be re-directed to the PayPal website to pay your non-refundable registration fee. Once this payment is received, we will begin processing your application.