RSI Returning Application Form
Name
*
First Name
Last Name
Age
*
Birthday
*
/
Month
/
Day
Year
Date Picker Icon
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
E-mail
Parent
*
First Name
Last Name
Parent Email
*
T-Shirt Size
*
Small
Medium
Large
X-Large
XX-Large
Back
Next
Do you take any prescription medications?
*
Yes
No
Please list your medications and indicate their purpose.
*
Have you previously served on RSI?
*
Yes
No
What teams have you been trained in at RSI in the past?
*
Kitchen/Operations
Farm Crew
Project Crew
Counselor in Training
Which team is your preference to serve on this summer?
*
Kitchen/Operations
Farm Crew
Project Crew
Counselor in Training
When are you available to serve?
*
Work Day - May 12
Spring Open House/Pancake Breakfast - May 26
VBS/Day Camp - June 11-15
Family Fun Night - June 15
Adventure Camp - July 1-3
Junior Camp - July 8-13
Junior High Camp - July 15-20
Summer Family Camp - Aug 17-19
Harvest Family Camp - Oct 5-87
Fellowship Supper - Oct 6
Craft Camp - Oct 19-21
Lumberjack Day - Oct 20
Christmas Open House - Dec 6
LIFT Young Adult Retreat - Jan 11-13, 2019
Ignite Junior High Retreat - Feb 22-24, 2019
Heart of the Pioneer Women - Apr 27, 2019
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