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If you would like to learn more about any of our upcoming programs or events, including private retreats, please send us a message. A fresh adventure is waiting for you here at The Inn!

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Heroes Semester Application

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Which training program are you applying for? *

Fall 2023 (10 Weeks)
Spring 2024 (10 Weeks)

Name *

First

Last

Birthdate *

Applicant Address: *

Applicant City: *

Applicant State: *

Applicant ZIP Code: *

Email *

Phone Number *

Are you attending College/University? If so, where?

Present Level of Education *

Parent Name (1) *

First

Last

Parent Name (2)

First

Last

Parent(s) Address: *

Parent(s) City: *

Parent(s) State: *

Parent(s) ZIP Code:

Home Church *

Home Church Address: *

Mentor or Pastor

First

Last

Phone Number

Will you be bringing your own vehicle? *

Yes
No

How did you hear about us? *

List any previous experiences in Christian ministry/programs either as staff or participant: *

List 3 of your favorite activities: *

Do you have any allergies? *

Yes
No

If YES, please explain:

Do you have any dietary restrictions? *

Yes
No

If YES, please explain:

Medical Problems? *

Yes
No

If YES, please explain:

Physical Disabilities? *

Yes
No

If YES, please explain:

Medications Required? *

Yes
No

If YES, please explain (Include type and dosage):

Special Needs? *

Yes
No

If YES, please explain:

Do you have any face or body piercings? *

Yes
No

Emergency Contact Name (1) *

First

Last

Phone Number *

Emergency Contact Name (2) *

First

Last

Phone Number *

Primary Health Insurance *

Policy Number

Insured's Name *

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Last

Medical Authorization

In case of sickness or an emergency, I authorize such medical procedures as are deemed necessary at the discretion of The Inn staff, using qualified medical personnel or institutions.

I understand that the activities at The Inn are organized and safe. However, in the event of a mishap, I agree to assume the risk and liability of any injuries that I may suffer.

Electronic Signature *

First

Last

Date *

Please write a brief testimony concerning your Christian faith. *

Please describe your current relationship with the Lord. *

Why are you interested in participating in the Heroes Semester program? *

What areas of your personal life do you feel you need to grow in the most this semester? *

Reference #1 *

First

Last

Position/Relationship *

Phone Number *

Email *

Reference #1 Address: *

Reference #2 *

First

Last

Position/Relationship *

Phone Number *

Email *

Reference #2 Address: *

Reference #3 *

First

Last

Position/Relationship *

Phone Number *

Email *

Reference #3 Address: *

Formerly Christian Training Center International, The Inn of Last Resort is known throughout the world for its outreach to Christian leaders, families and young people. The goal of our ministry is to develop an understanding of relationships and family culture through an encounter with Christ.

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