Member Interest Form

First name:  M.I. Last Name:

Address: City:

State: Zip:  Phone:  Work:

Email:    Church Affiliation:

Male:  Female:  Date of Birth:  Spouse:

Original Weekend Attended

Number:  Date:  Location:

Other Weekends Worked

Number:  Date:  Location:

Number:  Date:  Location:

Number:  Date:  Location:

Number:  Date:  Location:

Number:  Date:  Location:

Have you attended a Fourth Day Workshop? Yes  No

I would be willing/interested in doing the following if asked:

Inside Team Positions

Rector/Rectoress*  Co-Rector/Co-Rectoress*  Spiritual Director*

* Must meet qualifications

Head Coordinator    Coordinator    Cha-Cha    Rollista

Auxiliary/Angel  Head Cook  Cook

Musician (List Instruments) 1:  2:  3.

I CAN fill an inside team position on short notice?

Outside Team Positions

24-hr Prayer Chapel Setup   24-hr Prayer Chapel Coordinator

Clean-up Coordinator   Clean-up Crew   Closing Host/Hostess

Food Donation Coordinator   Food Donations   Holy Hour Host/Hostess

Holy Hour Homily   Holy Hour Video   Holy Hour Solo   Kitchen Help Coordinator

Kitchen Help   Sponsor's Service Host   Arrange Rector Serenade

Faith Renewal Stoles   Weekend Banner   Aprons - Cooks

Aprons - Chas   Aprons - Coordinators   Table Decorations

I CAN fill an outside team position on short notice

Board Positions

 Spiritual Advisor   Vice-President Couple   Secretary   Treasurer

Registration   Historian   Newsletter Editor

Ultreya Host/Hostess   Inventory Coordinator  

National Board Representative 

OTHER

Snack Table   Make Cross Lanyards   Paint Crosses

Fourth Day Workshop

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