Spiritual Bootcamp Registration







Teen Boot Camp - Christian Boot Camps - Spiritual Boot Camp - Teen Missions - Mission Trips - Bible School Possibilities
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Elijah Generation International™ Does Your Teen Want To Follow the Masters Commission, "To Go Into All The World"?  Contact us for Christian Education, Alternative Boarding Schools, Therapeutic Spiritual Treatment, Spiritual Boot Camp, School Of Ministry, and School Of Leadership.  Also, Call today to get Help for Troubled Teens Diagnosed with ADD, ADHD, School Problems, Suicidal Tendencies, Depression, Bi-polar Disorder, Rebellion or Substance Abuse. Copyright ©  2005 – 2007
Please submit the following questions and an enrollment counselor will
be contacting you shortly.

PERSONAL___________________________________________________

First Name:                                Last Name:

Spouse's Name:

COMMUNICATION____________________________________________

Email:

Mobile Phone:

Home Phone:

Work Phone:


MAILING ADDRESS___________________________________________

Street:

City:                                    Sate:                          ZIP:

Country:
GENERAL REFERRAL_________________________________________

Referred by:
INTERNET REFERRAL________________________________________

Search Engine:

Search Engine
Keywords:                                            (example: Troubled Teens,
Bootcamp, Christian Treatment, ect)

    
OTHER INFORMATION________________________________________

Church Affiliation:
STUDENT INFORMATION_____________________________________

Student's  Name:

Birthdate:

Detailed Comments:


There is a $150.00 application fee due upon submittal.
For those students applying from our church the $150.00 application fee will be waived.
There is a $150.00 application fee due upon submittal.
For those students applying from our church the $150.00 application fee will be waived.