Teen Retreat Leader Application Name First Last Address Street Address Address Line 2 City ZIP Code Student Email* Student Cell Phone NumberParent Email* Parent Cell Phone Number*Are you involved in any ministries at Transfiguration? Yes No Do you have any other commitments (i.e., sports, job) that may conflict with MANDATORY Team meetings and the Retreat dates? If so, please list.*Was the Antioch retreat or another retreat special to you as a retreatant, explain?Why do you want to be a member of the Leadership Team?By signing this form, I am committing myself to attending all planning meetings and the entire Retreat; I will participate in the Retreat fully as a servant leader for those attending. I also acknowledge that the ChrisTeen Code of Conduct will be enforced from the moment of signing through the end of the Retreat and any behavior on my part not in accordance with this could result in my not being able to facilitate and/or being sent home.* I Agree My Parent Agrees. Parent's Electronic Signature* Date of Acknowledgement* MM slash DD slash YYYY
