Register Here

Name *

First Name

Last Name

Gender *

Male

Female

Birth Date *

MM

DD

YYYY

Are you baptized? *

Yes

No

Years Attended

How many times have you been to Onesimus? A close guess is fine.

1

2

3

4+

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell phone number *

(###)

###

####

Is your dietary or health issue severe?

Meaning, could you end up in the hospital if something goes wrong?

Yes

Emergency Phone *

What is your "emergency person's" phone number?

(###)

###

####

Emergency Address *

What's the home address of your emergency person? If it's the same as your address, just put something like "same as mine".

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Also, check this box if you'll be flying

We'll keep in touch to make sure you have rides to and from the airport.

I'm flying!

Will you be bringing a car?

Helps us figure out if we can make any off-site trips during the program (for laundry on Saturday, for example).

Yes

No

Can you commit to a full two weeks? *

Yes

No