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Faith Alive! Registration Form

Faith Alive! logo

Open to All Faith Communities

A two-year, six session study and reflection on how faith impacts and informs daily living and defines ministry and service.

Application for Admission Due Date: August 15, 2017

This application covers the entire series of six Faith Alive! weekend sessions held at the Mt. Morris Retreat Center near Wautoma, WI:

  • September 15-17, 2017
  • January 12-14, 2018
  • April 27-29, 2018
  • September 14-16, 2018
  • January 11-13, 2019
  • April 26-28, 2019

Applicants must commit to all six sessions.

Fees

Room, meals, tuition and book fee is $225 per session. The $225 for the first session (which may be paid in installments) must be paid prior to that session. Limited scholarship funds may be available (contact Gail Burgess for more information). Each remaining session is to be paid two weeks before that session.

Include in Your Application:

  1. Check payable to Wisconsin Annual Conference UMC.
  2. Letter of recommendation from your faith leader.

Mail These Completed Application Items to:

Faith Alive!
Gail Burgess
6510 203rd Avenue
Bristol, WI 53104

Click the 'NEXT' page button below to begin!

Registrant Information

Please complete the ENTIRE form below.

You must provide your first, middle and last name!

First, middle and last name.

Please provide a valid number between 18-99!

Please select either male or female!

Provide the name you'd prefer to have on your nametag.

Please provide your full home address!

Records the full home address of the registrant.

You can only use letters when providing a city name!

Registrant's home city.

Please select the state in which you reside.

Listing of all U.S. states.

Please enter your home address zip code!

Registrant's home zip code.

Please provide your home phone number in the following format: 555-123-4567.

Registrant's home phone.

Please provide your cell phone number in the following format: 555-123-4567.

Registrant's cell phone.

Please provide a valid email address!

Registrant's email address.

Please provide an emergency contact name!

Registrant's emergency contact name.

Please provide an emergency contact phone number (using the format 555-123-4567)!

Registrant's emergency contact phone number.

Faith Community Information

Note: Your mentor might be your faith community leader, a friend from your faith community, a prayer partner, a small group study leader, etc.) We will be sending a general letter after each session to all Faith Leaders and Mentors to let them know what we have been discussing. If you do not currently have a mentor, we will help you in identifying/selecting someone.

Please be sure to provide some details regarding WHY you're applying to Faith Alive!

Brief Biographical Background

We are hoping to gather a group diverse in age, ethnicity, geography, gender, etc. We want to know how best to serve you--please describe yourself to us.

Please provide an appropriate response!

Please provide an appropriate response!

Please provide an appropriate response!

Please provide an appropriate response!

Scholarship Information. Faith Alive! has partial scholarships for those with financial need. You can also ask your regional office or faith community for financial support. Complete all elements that apply below!

Please enter a dollar value!

Invalid Input

Please provide a dollar amount.

Please provide a dollar amount!

Please provide a dollar amount!

Invalid Input

Form Submission Wrap-Up

That's it! Before clicking the SUBMIT button below, be aware that you'll need to print this application (once you receive it in your email inbox), sign the printout and submit it along with a letter of recommendation from your faith leader and the first session's $225 fee.

Be sure to check the following boxes to further acknowledge your understanding of the Faith Alive! registration process:

You must check this before submitting your registration!

You must check this before submitting your registration!

Click the "Send" button below to complete this registration form!