HS INTENSIVE ADMISSIONS INSTRUCTIONS

Name *

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Sex

Male

Female

Birthday *

MM

DD

YYYY

Name of Parent(s) or Guardian(s)

First Name

Last Name

Date of Last Medical Physical

MM

DD

YYYY

Doctor's Name

First Name

Last Name

Doctor's Phone Number

(###)

###

####

Phone Number

(###)

###

####

Are You Currently Employed?

YES

NO

Supervisor/Manager's Name

First Name

Last Name

Will You Be Able To Pay The Full Tuition Upon Arrival?

YES

NO

Church Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Name of Pastor

First Name

Last Name

Please Describe Your Primary Ministry Calling As You Currently See It

(Identify At Least One)

Apostolic

Pastoral

Intercession

Prophetic

Teaching

Music

Evangelistic

Administration

Helps

Other

Have You Been Baptized In Water?

Yes

No

If So, When?

MM

DD

YYYY

If You Are Married, Will Your Spouse Also Be Attending Harvest Sound Intensive?

YES

NO

Are You Currently In A Dating Relationship?

YES

NO

Have You Read The Sons of Thunder Vision? If Not, This Is A Must

YES

NO