Candidate Application – North Texas Tres Dias

First name

Last name

Mobile phone

Gender

Marital status

Age

Weekend

Address line 1

Address line 2

City

State

Postal code

Country

Church name

I am clergy

Allergies (enter “None” if none)

Physical needs (enter “None” if none)

Medications (enter “None” if none)

Sponsor first name

Sponsor last name

Sponsor email

Sponsor phone

Sponsor weekend (text)

Deposit/payment collection will be completed later as part of the registration process.