Literature Lap 2025 – nnsw.bluevineyardevents.com

First Name

Last Name

Date of Birth (must be 18+ in September 2025)

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Email

Phone Number

Please select your dietary preference (the regular option will be plant based/vegetarian):

Regular

Gluten Free

Other

If other, please specify:

Do you have any allergies or health conditions we should be aware of?

Yes

No

If yes, please specify:

Please list an emergency contact:

Emergency Contact Name

Relationship to Applicant

Best Phone Number

Have you done Literature Evangelism/Canvassing before?

Yes

No

If so, please describe where you did it, how much you have done, and what experience you have.

Why do you want to join this adventure?

Tell us a little about your relationship with God.

Are you able to attend the full program? (1st August – 7th November 2025)

Yes

No

What dates are you able to attend?

Please share the name and phone number of a reference – preferably a pastor or elder.

Please upload a neat, professional looking photo of your face. (JPG and PNG)

Choose File

Do you agree to abide by the principles and guidelines of the Seventh-day Adventist Church?

Yes

No

Do you agree to listen to and follow the leaders directions, for the smooth running of the program?

Yes

No