Infusion Leadership School Application Order Number We're excited to have you apart of our online Revival Training camp! Fill out the questions below and click the SEND button. We will send you a follow up email with forms to fill out and a payment link! First Name: Last Name: Gender: * Male Female Email Address: * Your Phone Number: * Date of Birth: * Age: * Parent's Email Address: * Parent or Guardians Name(s): * Parent or Guardian's Phone Number: * Street Address: * City: * State: * Zip: * T-shirt Size: Small Medium Large XL XXL XXXL Youth Group Name/Church: What passion group breakout would you be most interested in? Messenger Media Music Are you applying with your youth group? Yes No Will you be participating with friends? Yes No These are friends that we assume are signing up for the full Infusion Revival camp experience. Are you interested in gathering friends for nightly sessions? Yes No We believe this is a great opportunity to practice initiation, as well as give an opportunity for any of our friends who don't know Jesus to hear the gospel. If you choose yes, we will be sending you an email with more information on how to gather your friends effectively. Infusion realizes modesty is at times culturally relevant, but we choose to outdo in honor as the Bible teaches. Our challenges may require filming, giving full exposure to our attire. Our standard includes modest and age appropriate clothing. We will not allow crop tops, shirts with profanity, and short shorts. * Great! Tell us about yourself... What's your salvation experience? * Why do you want to be apart of Infusion? What are you hoping to learn? * Have you ever had a drug or alcohol problem? * List any symptoms you've had with mental illness i.e. depression, anxiety, suicidal thoughts, self harm, ADHD, ADD, bipolar disorder, PTSD, eating disorder *
