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Name

Name Preference for Name Tag

Birth Date

Address

Home Phone

Cell Phone

Work Phone

Best Phone to call

Home Cell Work Email

Best time to call

Occupation

Christian Denomination

Made Kairos/Kairos Outside/Street Weekend

Date

Attended KO Leader Training: Date

Location

Number Kairos Outside Worked

Team Assignment(s)

Do you play any musical instruments?

Which Instruments?

I have read and understand the Statement of Faith

[please include all talks given]

Email Address

Comments / Other information

I have read and understand the Ecumenical Statement

Submitting an application to team is not a guarantee to be called to team.

Please note:  Kairos Outside Team Formation and Weekends are Drug, Alcohol and Fragrance free.

As a faithful member on a Kairos Outside Team:

(1)    I will obtain a current Kairos Outside Manual and will be familiar with my responsibilities as presented therein.

(2)    I will make every effort to attend all Team Meetings.

(3)    After becoming familiar with the program, as a Christian, I agree to support in good faith the activities done on the Weekend, as well as the theological and Scriptural content of the talks, as outlined in the Kairos Outside Manual.

(4)    I will abide by the rules of confidentiality as set forth in the Kairos Outside Manual, and understand, if I breach Team Formation or Weekend confidentially, I will be dismissed from the Team.

Please allow time for a response, you will receive this form back to the email provided.
The leader will contact you when she is ready to select a team.