DOR Registration Family/Individual Contact InformationName *Gender *MaleFemaleAddress Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalestinian TerritoryPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWestern SaharaWestern SamoaYemenZambiaZimbabweCountryPhone *Email *What church do you attend? *Other Family Members AttendingSpouse's Name (if attending) Kids Attending Please list attending kids name, age and gender. Example; John, 12, MaleHOUSINGNumber of people in your group that need a bottom bunk *WORK EXPERIENCEWhat kind of work can you do? i.e.. Carpentry, Yard Work, Painting, etc.What can others in your group do? Can you bring any tools? Please select all that applyShovelsRakesWeed EaterTree Triming ToolsConstruction ToolsCleaning/Scrubing toolsDATES/MEALS ATTENDINGFood allergies (gluten, dairy, nuts, etc) We can accommodate most food allergies, but must know in advance. Please list any individuals that have a food allergy.Instructions Please indicate your arrival date and first meal, and your departure date and last mealDate Arriving *First Meal Attending *Please Select OneBreakfastLunchDinnerDeparture Date *Last Meal Attending *Please Select OneBreakfastLunchDinner If you need to cancel or change info on this form, please contact us as soon as possible by email. missyhumber@orpac.orgDays of Renewal Weekend meals are available Friday dinner through Monday lunch. If you are able to come help during the week work, please indicate which weekday you will be arriving and which meal you'd like to start with. Lodging Needed *Please Select OneI need lodgingI will be bringing my own RV VerificationPlease enter any two digits *Example: 12This box is for spam protection - <strong>please leave it blank</strong>:
