DIT Registration - Disciple Makers in Training

Name *

First

Last

Email *

Phone *

Are you on Instagram? *

We will aim to communicate by both email and instagram.

Instagram Name

We will connect with you from the DIT Instagram account so watch for an invite from us!

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Emergency Contact *

First

Last

Emergency Contact Phone *

Emergency Contact Email *

Scondary Contact

First

Last

Second contact to reach out to if we can't get ahold of your Emergency Contact.

Secondary Contact Phone

Secondary Contact Email

Medical Info

Health Card # *

Please include the version code

Do you have Allergies? *

List your Allergies here:

Do you have other health concerns? *

List your health concerns here:

Do you have dietary restrictions? *

List your health concerns here: (copy)

References

Reference 1 Name *

First

Last

Reference 1 Phone *

Reference 1 Email

Reference 1 Relationship to you: *

Reference 2 Name *

First

Last

Reference 2 Phone *

Reference 2 Email

Reference 2 Relationship to you: *

Christian Life Info

Tell us a little about when you gave your life to follow Jesus, and what this means to you: *

Tell us why you want to join the DIT Team: *

Tell us about 3 of your personal strengths: *

Tell us about 3 of your personal weaknesses: *

Camp & Ministry info

If you have been to UB Camps before, tell us about it:

If you have staffed at UB Camps before, tell us about it:

Which Camp(s) will you be serving at? *

Junior Camp (Aug 2 - Aug 8)
Junior High Camp (Aug 9 - Aug 15)

As part of DIT, you a required to serve at a minimum of one week of camp beyond the DIT week as part of the full ministry experience.

DIT Application Form

Medical Info

References

Christian Life Info

Camp & Ministry info