Apply Rev5 Tribes - Summer Leadership Experience for Jr. High Students

Name*
First Last
Phone*
Email*
Address*
City State
How old are you?*
Fitness Level*
Kingdom Catalyst may involve activities requiring stamina and basic physical fitness. How would you describe your fitness level?
Additional Medical Info
Please provide any health information that might impair your ability to exercise or perform athletically.
Describe your relationship with Christ.*
How did you hear about Rev5 Tribes?*
What are you most excited to gain from your Rev5 Tribes experience?*
Emergency Contact Name*
Please list your legal guardian as your emergency contact person. They will receive an email with a digital Release of Liability waiver that must be signed and submitted before you can participate in Rev5 activities.
First Last
Emergency Contact Phone*
Emergency Contact Email*