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Developmental
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Muscular Dystrophy
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Other, please specify
Select your disabilities. Hold 'Ctrl' (or 'Command' on Mac) to select multiple options.
Other Disability - Please provide details
What is important for us to know about your disability?
Do you have any specific accommodations?
Yes
No
Specific Accommodations
Any history of seizures?
Yes
No
Description of seizure history
Things I don’t like or upset me
Things I enjoy
Are there any diapering or toileting routines we should be aware of?
Yes
No
Church Name
Attending Virtually or In-Person
Virtually
In-Person
Dietary Restrictions
Meal Preference (HIDDEN - Nov 2024)
Choice A
Choice B
Choice C
Hotel information
Hotel Check-In Date
Hotel Check-Out Date
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Preferred Departure Flight Time Frame
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Please select...
Aisle
Window
No Preference
Team Name
Will you be golfing?
Yes
No
Golf Information
Do you have a team you would like to join?
Yes
No
Who is your team captain?
Golf Handicap
Participant Consent (hidden)
I consent
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Volunteer Skills
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Administrative
Disability Training
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Audio Visual Skills
Buddy
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Decorations
Greeter
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Fundraising and Development
Handwriting Cards
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Mailing
Select a Role
Choose a Role
Role Description (Other Primary HH#2)
Required Skills (Other Primary HH#2)
Persona Template ID (Other Primary HH#2) (Hidden)
Create Portal user (hidden)
True
When a new person is added who shares this home address, the address field will automatically populate
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Sr.
Jr.
II.
III.
IV.
Address associated with this Participant
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Preferred Name
Birthdate
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Gender
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Female
T-Shirt Size
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Small
Medium
Large
Extra Large
2XL
3XL
4XL
5XL
Youth Small
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Applicant's Role in the Family
Husband and/or Father
Grandfather
Son
Individual
Wife and/or Mother
Grandmother
Daughter
Other
Best Number to Reach You
Please select...
Home
Work
Mobile
Other
No Phone
Home Phone
Work Phone
Mobile Phone
Other Phone
Do you have a disability?
Yes
No
What disability/disabilities do you have?
Please select...
Alzheimer’s
Autism
Cerebral Palsy
Developmental
Down Syndrome
Muscular Dystrophy
Osteogenesis Imperfecta
Spina Bifida
Spinal Cord Injury
Traumatic Brain Injury
Tourette Syndrome
Other, please specify
Select your disabilities. Hold 'Ctrl' (or 'Command' on Mac) to select multiple options.
Other Disability - Please provide details
What is important for us to know about your disability?
Do you have any specific accommodations?
Yes
No
Specific Accommodations
Any history of seizures?
Yes
No
Description of seizure history
Things I don’t like or upset me
Things I enjoy
Are there any diapering or toileting routines we should be aware of?
Yes
No
Church Name
Attending Virtually or In-Person
Virtually
In-Person
Dietary Restrictions
Meal Preference (HIDDEN - Nov 2024)
Choice A
Choice B
Choice C
Hotel information
Hotel Check-In Date
Hotel Check-Out Date
Departure Airport
Preferred Departure Flight Time Frame
Preferred Return Flight Time Frame
Preferred Airplane Seat
Please select...
Aisle
Window
No Preference
Team Name
Will you be golfing?
Yes
No
Golf Information
Do you have a team you would like to join?
Yes
No
Who is your team captain?
Golf Handicap
Participant Consent (HIDDEN)
I consent
I do not consent
Appearance and Audio Consent (HIDDEN)
I consent
I do not consent
Volunteer Skills (HIDDEN)
Please select...
Administrative
Disability Training
Tour Guide
Audio Visual Skills
Buddy
Event Coordination
Decorations
Greeter
Host
Fundraising and Development
Handwriting Cards
Interpreter
Mailing
Select a Role
Choose a Role
Role Description (Additional HH #2)
Required Skills (Additional HH #2)
Persona (Additional HH #2) Template ID Secondary
Create Portal user (Secondary)
True
Add another participant from a different household
Participant (Household #3)
Title
First Name
Middle Name
Last Name
Suffix
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Sr.
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III.
IV.
Email
Verify Email
The emails do not match.
Country
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United States
Canada
Mexico
Afghanistan
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Andorra
Angola
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Argentina
Armenia
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Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
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Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos ( Keeling ) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Côte d ' Ivoire
Croatia ( Hrvatska )
Cuba
Cyprus
Czech Republic
Congo ( DRC )
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands ( Islas Malvinas )
Faroe Islands
Fiji Islands
Finland
France
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
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Guinea
Guinea-Bissau
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Madagascar
Malawi
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Maldives
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Mayotte
Micronesia
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Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Samoa
San Marino
São Tomé and Prìncipe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Spain
Sri Lanka
St. Helena
St. Kitts and Nevis
St. Lucia
St. Pierre and Miquelon
St. Vincent and the Grenadines
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
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Tunisia
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Alzheimer’s
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Select your disabilities. Hold 'Ctrl' (or 'Command' on Mac) to select multiple options.
Other Disability - Please provide details
What is important for us to know about your disability?
Do you have any specific accommodations?
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Specific Accommodations
Any history of seizures?
Yes
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Description of seizure history
Things I don’t like or upset me
Things I enjoy
Are there any diapering or toileting routines we should be aware of?
Yes
No
Church Name
Attending Virtually or In-Person
Virtually
In-Person
Dietary Restrictions
Meal Preference (HIDDEN - Nov 2024)
Choice A
Choice B
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Hotel information
Hotel Check-In Date
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Departure Airport
Preferred Departure Flight Time Frame
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Preferred Airplane Seat
Please select...
Aisle
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No Preference
Team Name
Will you be golfing?
Yes
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Do you have a team you would like to join?
Yes
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Who is your team captain?
Golf Handicap
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Select a Role
Choose a Role
Role Description (Additional HH #3)
Required Skills (Additional HH #3)
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Create Portal user (Secondary)
True
Add another participant from a different household
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Michoacán
Morelos
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Quintana Roo
Sinaloa
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State Selected (Hidden)
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MM/DD/YYYY
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Male
Female
T-Shirt Size
Please select...
Small
Medium
Large
Extra Large
2XL
3XL
4XL
5XL
Youth Small
Youth Medium
Youth Large
Applicant's Role in the Family
Husband and/or Father
Grandfather
Son
Individual
Wife and/or Mother
Grandmother
Daughter
Other
Best Number to Reach You
Please select...
Home
Work
Mobile
Other
Home Phone
Work Phone
Mobile Phone
Other Phone
Emergency Contact Name
Emergency Contact Relationship
Emergency Contact Phone
Emergency Contact Email
Do you have a disability?
Yes
No
What disability/disabilities do you have?
Please select...
Alzheimer’s
Autism
Cerebral Palsy
Developmental
Down Syndrome
Muscular Dystrophy
Osteogenesis Imperfecta
Spina Bifida
Spinal Cord Injury
Traumatic Brain Injury
Tourette Syndrome
Other, please specify
Select your disabilities. Hold 'Ctrl' (or 'Command' on Mac) to select multiple options.
Other Disability - Please provide details
What is important for us to know about your disability?
Do you have any specific accommodations?
Yes
No
Specific Accommodations
Any history of seizures?
Yes
No
Description of seizure history
Things I don’t like or upset me
Things I enjoy
Are there any diapering or toileting routines we should be aware of?
Yes
No
Church Name
Attending Virtually or In-Person
Virtually
In-Person
Dietary Restrictions
Meal Preference (HIDDEN - Nov 2024)
Choice A
Choice B
Choice C
Hotel information
Hotel Check-In Date
Hotel Check-Out Date
Departure Airport
Preferred Departure Flight Time Frame
Preferred Return Flight Time Frame
Preferred Airplane Seat
Please select...
Aisle
Window
No Preference
Team Name
Will you be golfing?
Yes
No
Golf Information
Do you have a team you would like to join?
Yes
No
Who is your team captain?
Golf Handicap
Participant Consent (hidden)
I consent
I do not consent
Appearance and Audio Consent (hidden)
I consent
I do not consent
Volunteer Skills
Please select...
Administrative
Disability Training
Tour Guide
Audio Visual Skills
Buddy
Event Coordination
Decorations
Greeter
Host
Fundraising and Development
Handwriting Cards
Interpreter
Mailing
Select a Role
Choose a Role
Role Description (Other Primary HH#4)
Required Skills (Other Primary HH#4)
Persona Template ID (Other Primary HH#4) (Hidden)
Create Portal user (Legacy field - Primaries get this enabled in the connector instead)
True
When a new person is added who shares this home address, the address field will automatically populate
Add a person who shares this address
Additional Participant (Other #4)
Title
First Name
Middle Name
Last Name
Suffix
Please select...
Sr.
Jr.
II.
III.
IV.
Address associated with this Participant
Email Selection
Personal
No Email
Contact Email
Verify Contact Email
The emails do not match.
Preferred Name
Birthdate
MM/DD/YYYY
Gender
Please select...
Male
Female
T-Shirt Size
Please select...
Small
Medium
Large
Extra Large
2XL
3XL
4XL
5XL
Youth Small
Youth Medium
Youth Large
Applicant's Role in the Family
Husband and/or Father
Grandfather
Son
Individual
Wife and/or Mother
Grandmother
Daughter
Other
Best Number to Reach You
Please select...
Home
Work
Mobile
Other
No Phone
Home Phone
Work Phone
Mobile Phone
Other Phone
Do you have a disability?
Yes
No
What disability/disabilities do you have?
Please select...
Alzheimer’s
Autism
Cerebral Palsy
Developmental
Down Syndrome
Muscular Dystrophy
Osteogenesis Imperfecta
Spina Bifida
Spinal Cord Injury
Traumatic Brain Injury
Tourette Syndrome
Other, please specify
Select your disabilities. Hold 'Ctrl' (or 'Command' on Mac) to select multiple options.
Other Disability - Please provide details
What is important for us to know about your disability?
Do you have any specific accommodations?
Yes
No
Specific Accommodations
Any history of seizures?
Yes
No
Description of seizure history
Things I don’t like or upset me
Things I enjoy
Are there any diapering or toileting routines we should be aware of?
Yes
No
Church Name
Attending Virtually or In-Person
Virtually
In-Person
Dietary Restrictions
Meal Preference (HIDDEN - Nov 2024)
Choice A
Choice B
Choice C
Hotel information
Hotel Check-In Date
Hotel Check-Out Date
Departure Airport
Preferred Departure Flight Time Frame
Preferred Return Flight Time Frame
Preferred Airplane Seat
Please select...
Aisle
Window
No Preference
Team Name
Will you be golfing?
Yes
No
Golf Information
Do you have a team you would like to join?
Yes
No
Who is your team captain?
Golf Handicap
Participant Consent (HIDDEN)
I consent
I do not consent
Appearance and Audio Consent (HIDDEN)
I consent
I do not consent
Volunteer Skills (HIDDEN)
Please select...
Administrative
Disability Training
Tour Guide
Audio Visual Skills
Buddy
Event Coordination
Decorations
Greeter
Host
Fundraising and Development
Handwriting Cards
Interpreter
Mailing
Select a Role
Choose a Role
Role Description (Additional HH #4)
Required Skills (Additional HH #4)
Persona (Additional HH #4) Template ID Secondary
Create Portal user (Secondary)
True
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