Delaware Valley Tres Dias
APPLICATION TO SERVE ON TEAM

Complete this form. Click on Submit when ready to send.

Your name:

 

Male Female

Email Address:

Date Of Birth:

Street Address:

City:
 State:
 Zip:

Home Phone:
 Occupation:
 Work Phone:

Marital Status:Single Widowed Divorced Married
Has your spouse attended a weekend? Yes No
Number of teams you have served on before:

Team Experience (check all that apply)

Rector
Assistant Rector
Chief Auxiliary
Auxiliary
Music Director
Table Leader
Spiritual Director

Rollo Experience (check all that apply)

Ideals
Action
Reunion Groups
The Church
Leaders
4th Day
Piety
Environments
Study
Christian Community in Action

Do you play a musical instrument?GuitarPianoTambourineDrums Other
Do you participate in: Palanca Secuela Secretariat Agape Mananita Closing
Have you attended Tres Dias School?
Yes No

If accepted to serve on team, do you...
Fully understand the commitment of time, prayer, and talents it will involve? Yes No
If no, please explain:
Have any physical restrictions that may prevent you from doing a certain task?
Yes No
If yes, please explain:
Have any special medical, physical, or dietary needs?
Yes No
If yes, please explain

TOTAL COST of the Weekend to the Community is $110.00.
Any donations are greatly appreciated.

Please add your comments: