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2010 Camp Info
Registration
Workcrew Info
Application
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Home
2010 Camp Info
Registration
Workcrew Info
Application
Contact Us
Media
Workcrew Application
Please complete the information below and we will be in touch soon.
Name:
Address:
Phone:
Cell:
College:
Year:
Have you been to Breakaway before?
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Yes
No
If Yes, how many years?:
What church?:
The main reason you want to come to Breakaway and be part of the Work Crew:
Personal Testimony (More about what God is doing in your life now than from the beginning):
Major Strengths:
Things you like to do:
Any Weaknesses:
Things you do not like to do: