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Surname (Mr,Mrs, Miss)__________________________________________________
First Name ______________________ Date of Birth __________________________ Address _____________________________________________________________ ____________________________________________________________________ Postcode_______________________ Telephone ________________________ Mobile___________________________ Email _______________________________________________________________ Occupation/Studying___________________________________________________ I am a member of (Church)_______________________________________________ Team Applied For______________________________________________________ Dates From _______________________ To _________________________________ Have you any health or dietary problems? (Please give details) _____________________________________________________________________ Which musical instrument do you play?_____________________________________ Which languages do you speak?___________________________________________ INSURANCE: If you want GLO to arrange this, please enclose your fee £ __________ AIR TRAVEL: If you want GLO to arrange this, please enclose £50 deposit £ ________ Please note: all team costs (as printed on the 'Opportunities to Serve 'information sheet) are to be paid to the team leader on the arrival at the team. PERSONAL DECLARATION: After prayerful consideration I apply to join the GLO Team as indicated: SIGNED _________________________ DATE __________________________________ For Completion By Church Elder/Secretary On behalf of the local church I am happy to commend the above named person to be involved in a GLO Outreach Team. Name ___________________________________________________________________ Address_________________________________________________________________ ________________________________________________________________________ Postcode________________________ Telephone______________________________ SIGNED _____________________________ DATE_______________________________ |
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Team Programme
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