Foothills Serve Project Application

1Applicant Information > 2Insurance and Medical Information > 3Passport Information > 4Emergency Contact > 5Personal Reflections
Instructions

• Please submit the completed Liability Waiver.
• The deposit will be returned only if you are not selected to participate. If accepted, the deposit will be applied toward your fundraising goal.
• If selected for the project, you will sign and submit a Team Covenant
Applicant Information
Choose Project *
Name (as it appears on your passport) Name (as it appears on your passport) * First Last
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email *
Phone Phone * - ### - ### ####
Member of FBC? *

Member of FBC? Yes No