Adults and Students Over 18 LTC Adult or Student 18 and over Registration Form Save my progress and resume later | Resume a previously saved form Resume Later In order to be able to resume this form later, please enter your email and choose a password. Your Email: A Password: Confirm Password: Page 1 Lead THE Cause | Presented by Dare 2 Share in partnership with Sonlife and Colorado Christian University | 866.448.0270 Church/Group City AttendingChicago, ILAustin, TXDenver, COWashington, DC Name of Church/Group:Please select... Becker Baptist Bell Avenue Baptist Bennett Christian Fellowship Bethel United Methodist Church Ellendale Boundless Grace Baptist Church Calvary Baptist Church Cedar Rapids Calvary Baptist Church Morrilton Calvary Bible Church Kalamazoo Calvary Church New Prague Calvary Community Church Schaumburg Canyon Creek Baptist Church Cedar Hills Community Church Central Baptist Church Lindale Christ Community Church Beatrice City Hill Church Community Bible Church Omaha Community Fellowship Church Jonesboro Cornerstone Baptist Church Roseville Countryside Christian Church Crossroads Church of Aspen Crossroads Youth Works Desoto Youth Ministries Door of Hope Church East White Oak Bible Church Faith Baptist Church Amherst Faith Baptist Church Parker Faith Bible Church Cedar Rapids Faith Bible Church Mechanicsville Faith Church Kent Faith Community Church Pipestone Faith Temple Church Family in Christ Community Church Firestorm Drama First Alliance Church Erie First Baptist Church Hiawasse First Baptist Church Hiawatha First Baptist Church Kearney First Baptist Church of Vassar First Baptist Church Pflugerville First Baptist Church Willard First Evangelical Free Church Minneapolis First Free Will Baptist Church First Presbyterian Church Fairfield First United Methodist Church Collingswood First United Methodist Church Scott City Forcey Bible Church Grace Chapel Castle Rock Grace Church Eden Prairie Grace Community Church Warwick Grace Evangelical Free Church Colville Grace Fellowship Church Timonium Grace for Life Bible Church Grace United Methodist Church Graham Church Green Ridge Baptist Church Harvest Church New Hampton Hattieville Baptist Church Heartland Community Church Heritage Church Visalia Heritage Fellowship Church Leesburg Highline Church Hillside Church Holly Springs Baptist Church ICF Switzerland Immanuel Baptist Church Kenosha Immanuel Church Grayslake Joshua Project Lake Gregory Community Church Laurel Glen Bible Church LFJ Ministry Lighthouse Presbyterian Church Livermore Baptist Church Majestic View Church Maugansville Bible Brethren Church Maywood Evangelical Free Church McLean Bible Church McLean Korean Presbyterian Church Meadow Heights Baptist Church Merrill Bible Church Midland Evangelical Free Church Ministry Partner Monett Community Church Mount Olivet United Methodist Church Mountain View Community Church Nappanee Missionary Church Needmore Bible Church New Heights Church Berea New Heights Church Indianola New Life Church Taylorsville Newbridge Church Northern Heights Baptist Church O'Fallon First United Methodist Church Palmer Ridge Church Parkway Baptist Church Real Life Community Church Redeemer Community Church Refton Brethren In Christ Reston Bible Church River City Community Church Riverside Baptist Church Riverside Evangelical Free Church Round Hill Baptist Church Salem Baptist Church Scofield Church Second Baptist Church Bowling Green Shiloh Baptist Church Southside Baptist Church Southwest Christian High School Syracuse United Methodist Church Thanksgiving Church The Fellowship - Katy The Log Church The Salvation Army - Royal Oak Corps Trinity Church of the Nazarene Trinity Lutheran Church Victory Christian Center Walkowiak Wanette First Baptist West Houston Chinese Church West Pines Baptist Church Woodlands Church Word of Faith Church Zion Evangelical Free Church Group Leader Name: Leader's Email First Name: Last Name: Your Role: Please select... Group Leader Adult Leader Student 18 and Over Address City CountryPlease select... United States Canada Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina 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 Guatemala Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong SAR Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao SAR Macedonia, Former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua 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 Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Viet Nam Virgin Islands ( British ) Virgin Islands Wallis and Futuna Yemen Zambia Zimbabwe StatePlease select... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Puerto Rico Virgin Island Northern Mariana Islands Guam American Samoa Palau ProvincesPlease select... Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Zip Code Email: Cell Phone: Gender:FemaleMale Date of Birth Physical Limitations: Dietary Restrictions: Gluten FreeDairy FreeVegetarianOther Dietary Restrictions Allergies (or anything that may hinder participation in activities): Any criminal convictions: YesNo Are you willing to comply with a background check? YesNoYou will be sent a link for you to complete your background check. Rooming Assignment: There are 2 people per room. List your preferred roommate. Leave blank for no preference. Emergency Contact Information Name: Relationship: Cell/Main Phone: Other Phone: Other Name: Relationship: Cell/Main Phone: Other Phone: Page 2 Group Leaders Job Description Below is a brief description of what is expected of a Leader at LTC. Please read carefully and acknowledge that you have read and understand the expectations you will have as a group leader by initialing below. Thank you for investing in THE Cause. We believe your week at Lead THE Cause (LTC) will change you, your group, and your community. In preparation for your week at LTC, here are some expectations we have for you as a group leader:1. LTC is a time of both training and strategy development. You will be working closely with your church group to seek God’s direction (through prayer and other exercises), and develop a strategic plan for impacting your community for THE Cause. Most of your time will be spent in large group sessions, small group time with your church group, and on various outreach experiences. You (along with your team sponsors) will be responsible to lead your group time and outreach experiences. Instructions will be provided by the LTC team.2. While outside LTC scheduled events, you are responsible for your group (including keeping your group on schedule, maintaining discipline, and dealing with group specific issues as they arise).3. Prior to attending LTC, you must designate at least one or more leader(s) from your group to manage all prescription and non-prescription medications for your church group. We have attached a medical release form that MUST be signed by each student’s parents BEFORE you arrive on campus. Your assigned leader(s) will be responsible for storing and distributing medications according to the directions given on the prescription label. NO teens are allowed to keep and manage their own medicines while at LTC (with the exception of as-needed medications such as inhalers). Failure to complete this form could result in your students not being allowed to participate in LTC.4. If your students are arriving on campus in their personal vehicles, it is your responsibility to make sure that your student does not leave campus on their own during the week. LTC will provide transportation to all off-site outreach events. Group Leader's Initials: Moody Bible Institute - Rules and Key Fines The following information applies to campus rules at Moody Bible Institute (MBI). Please be respectful of all MBI property.Rooms must be secured at all times. MBI is not responsible for any personal items or belongings stolen from your assigned room or anywhere on the premises of Moody Bible Institute.All of the floors are gender specific. MBI is providing housing accommodations to other outside groups. Therefore, we ask you to not visit other floors outside of your group and floors of the opposite gender.Alcohol, tobacco, and illegal substances are not allowed on campus.There are no established quiet hours. However, keep in mind this is a community and all noise and/or activity affects others. PLEASE BE CONSIDERATE OF OTHERS.Candles, incense, or any cooking appliances may not be used in your room.Please return your keys in the envelopes provided when you first checked-in. Please use the key return boxes in the lobby of the residence hall unless otherwise instructed. Loss of keys will result in a replacement fee of $15.00 for one key and $25.00 for the set.You must wear and display your conference ID at all times when on campus. Participant's Initial: Huston-Tillotson University - Rules and Key Fines The following information applies to campus rules at Huston-Tillotson University (HT). Please be respectful of all HT property.Rooms must be secured at all times. HT is not responsible for any personal items or belongings stolen from your assigned room or anywhere on the premises of Huston-Tillotson University.The buildings are gender specific. HT is providing housing accommodations to other outside groups. Therefore, we ask you to not visit other floors outside of your group and the building of the opposite gender.Alcohol, tobacco, and illegal substances are not allowed on campus.There are no established quiet hours. However, keep in mind this is a community and all noise and/or activity affects others. PLEASE BE CONSIDERATE OF OTHERS.Candles, incense, or any cooking appliances may not be used in your room.You will be assigned a key with a code that is recorded and specific to your use only. If the key assigned to you is not returned at the end of your stay, a fine will be assessed.You must wear and display your conference ID at all times when on campus. Participant's Initial: CCU Summer Conferencing - Rules and Key Fines The following information applies to campus rules at Colorado Christian University (CCU). Please be respectful of all CCU property. You will be charged the cost to repair or replace any property you damage while on campus. Do not move furniture or bunk/unbunk beds.Do not move any items from one unit to another or from one room to another. All items are inventoried by room and on a master inventory list.Rooms must be secured at all times, do not trip the deadbolt to leave the door unlocked.If you choose to have your doors and/or windows open you must turn off the air-conditioning.Alcohol, tobacco, illegal substances and profanity are not allowed on campus.The pond is not CCU property and it is considered trespassing to enter it. Stay out of the pond.By city ordinance quiet hours begin at 10:00 pm. Please be indoors by that time or be very quiet if outdoors.There is a stove/oven unit in your apartment. It is not for your use if you are under the age of 21. Feel free to use the refrigerator.Candles and other open flame devices are prohibited in the apartments at all times.You will be assigned a key with a code that is recorded and specific to your use only. If the key assigned to you is not returned at the end of your stay, a fine of $100.00 will be assessed. Participant's Initial: McLean Bible Church - Rules and Key Fines The following information applies to campus rules at McLean Bible Church (MBC). Please be respectful of all MBC property.Sleeping accommodations will be at a local hotel. Rooms must be secured at all times. D2S is not responsible for any personal items or belongings stolen from your assigned room or anywhere on the premises of McLean Bible Church.Alcohol, tobacco, and illegal substances are not allowed on MBC campus.There are no established quiet hours. However, keep in mind this is a hotel and all noise and/or activity affects others. PLEASE BE CONSIDERATE OF OTHERS.You will be assigned a key to your hotel room. Please try to not lose it to help out the hotel staff.You must wear and display your conference ID at all times when on campus. Participant's Initial: Conducts and Agreements Below are listed guidelines and agreements that Dare 2 Share will require of each participant of Lead THE Cause (LTC). Please carefully read through each section. By signing below, you signify that you are in agreement and will comply to the below. Statement of Faith We believe:…in the Bible, the inspired Word of God, without errors on every matter it touches. Scripture is the supreme and final authority in faith and life. (2 Peter 1:20-21, 2 Timothy 3:16-17)…in one God, eternally existing in three Persons: the Father, the Son, and the Holy Spirit. (Deuteronomy 6:4, Galatians 1:1, Ephesians 4:6, Romans 9:5, Colossians 2:9, John 1:1, Acts 5:3-4)…in the deity of our Lord Jesus Christ, His virgin birth, sinless life, miracles, vicarious and atoning death through His shed blood, in His bodily resurrection, and in His ascension to the right hand of the Father. (Isaiah 7:14, Matthew 1:23, I Timothy 3:16, John 1:14, Philippians 2:6)…in the depravity of humanity. Although man was created in God’s image, because of sin he was alienated from God. As a result, every baby is born with a predisposition toward sin and selfishness. By God’s perfect standard, all fall short of God’s glory and the result is separation from God’s holy presence. (Genesis 1:26-27; Genesis 3:1-7; Isaiah 64:6; Romans 3:10-23; Romans 6:23; Revelation 21:27)…in salvation through faith in Christ alone based on His death, burial and resurrection from the dead. This salvation is a free gift made available through faith in Christ, not through trying harder, making spiritual commitments or doing good deeds. This reconciliation to God through faith in Jesus Christ results in a personal, permanent relationship with God that can never be broken by us and will never be broken by Him.. (Acts 16:31, I Corinthians 15:3-4, Romans 10:9, Ephesians 2:8-10; John 6:37-39; John 10:28; 1 John 5:13;) …in the eternal life of the saved and the eternal punishment of the lost. (John 6:47, John 10:10, Revelations 22:5)…in the imminent return of Jesus Christ. He will come again to the earth in power and glory – both personally and visibly – to consummate history and establish his kingdom firmly and fully on the earth. (Matthew 24:29-31; 1 Corinthians 15:24-28; Revelation 19:11-21:4) Participant's Initial: Code of Conduct "Your attitude should be the same as that of Christ Jesus" Philippians 2:5 While at LTC you will be around campus personnel, other groups sharing the campus and serving in the local community. We need to be above reproach in our attitudes and actions to be sure that we are reflecting the character of Jesus at all times. Our responsibility is to be a positive example to others on and off site. Therefore:No alcohol, chewing tobacco, drugs, etc. No guys and girls in each other's rooms or inappropriate interaction with team members of the opposite sex. No bad attitudes, cursing, coarse words etc. No inappropriate entertainment activities, movies, places, attire, etc. Any questions on what is appropriate in the Code of Conduct can be directed to the LTC Event Director. At Dare 2 Share our driving principal is: We strive to do the right thing in the right way for the right reasons as we minister to one another. Participant's Initial: Technology Media Code of Conduct Dare 2 Share Ministries allow the use of technology medium (e.g. cell phones, smart phones, laptops, social media, and other similar communication technology) during LTC. Technology and social media is a lifestyle in our current day and generation. The LTC program will have key elements where technology will be useful in the training. However, we will uphold integrity and a conduct that is appropriate as a follower of Christ in the use of outward communication. I will use my technological medium that is fitting to the program and for emergency purposes.My communication using technology and social media will be done with integrity, truth, and in a manner that is appropriate for a Christ follower.I will focus on the training when required and set aside my technology and the use of it when not required so that I can gain as much from the program as I can. Participant's Initial: Driving Agreement Due to high risk and liability, any participant with a car and/or of driving age will be required to refrain from the personal use of their or any other vehicle throughout the LTC program and stay. Participants understand that travel to and from locations involving the program will be provided by Dare 2 Share Ministries. Participant's Initial: To the best of my knowledge all information provided is correct, accurate, and complete. By entering my name below, I acknowledge that I have read and agree to all the above provisions: Signed: Date: Save my progress and resume later | Resume a previously saved form Need assistance with this form?
