Power Up Club

Team Application - 2020

Mandatory Dates

May 30 & 31 – Boot Camp

June 1-5 - Power Up Clubs

Application Acceptance Note

We are pleased to accept your application now. The number of students we can accept is directly proportional to our number of Host Homes. It is important to turn in your application as soon as possible!

Student Information

Student First Name: *

Student Last Name: *

Email Address: *

Cell Phone (best way to contact you): *

Student Questions – Please Answer Below

Are you a Christian? How do you know? *

Are you actively involved in MHCC’s Student Ministry? Who is your leader? *

If you die today, and God asks you, “Why should I let you into heaven,” what would you say? *

Why do you want to be a part of Power Up Clubs? *

Parent Information

Parent/Guardian First Name: *

Parent/Guardian Last Name: *

Parent/Guardian Contact Info (best way to contact you): *

Insurance Company and Policy Number: *

Doctor Name and Phone Number: *

We see Power Up Clubs as an opportunity to partner with parents. Please help us by:

Reviewing the COMPLETED application. Identify a character trait that you would like to see developed in your student through involvement in PUC: *

My child has permission to participate in Power Up Clubs and Power Up Club activities associated with the clubs, including transportation. Parent Signature: I hereby grant Mars Hill Community Church and Power Up Club the right to photograph and/or video my child and use the images for publication processes, whether electronic, print, digital or electronic publishing via the Internet. *

clear

Date: * +

Application and Fee Deadlines

March 29, 2020 - $100.00

Fees cover all training materials, supplies, meals, and four shirts.

Applications will only be accepted with payment.

Contact danielle@marshillcc.com or kathleen@marshillcc.com if payment arrangements need to be made.

Payment $100 - Enter amount below: *

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