Church Name
Dates of Ministry
Would you like a news release?
Yes
No
What e-mail address should we send the promotional items to?
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
(###)
###
####
Sunday a.m. service
Sunday school
Sunday evening
Weeknights
If other, please list
Weeknight Time
If not Monday-Friday, are there special service on the other nights you would like to do for teens or another group in the church?
Will the team be eating supper on Saturday night at the church or in the host homes?
Church
Host Homes
If at the church, what time will supper be served?
Has the travel fee been sent?
Yes
No
Are there facilities available for a youth activity? (a gym, a YMCA that could be rented, etc.)
Yes
No
Will there be any other scheduled activities for the team (nursing home, ministry to shut-ins, men's breakfast, etc.)?
Yes
No
If yes, What, when and where?
Do you need a copy of our team member's clearances to work with children?
*
Yes
No
Do you have a photocopier/printer that we can use for sermon handouts, etc.?
*
Yes
No
Do you desire for us to do teen/children clubs in the services during the message time?
*
Yes
No
If yes, what services? What ages?
Do you have the proper hook-ups for the 5th wheel? (Hopkins family)
*
Yes
No
Do you have private housing or in-law quarters for the Farrell family?
*
Yes
No
