Inscriptions à Impact the Alps Étape 1 de 3 33% Current LanguageEmail* Mobile Number*Name* Prénom Nom As written on passportHome Address* Adresse postale Ville ZIP / Code postal CountryAfghanistanAfrique du SudAlbanieAlgérieAllemagneAndorreAngolaAntigua-et-BarbudaArabie SaouditeArgentineArménieAustralieAutricheAzerbaïdjanBahamasBahreïnBangladeshBelarusBelgiqueBelizeBermudesBhoutanBolivieBosnie-HerzégovineBotswanaBruneiBrésilBulgarieBurkina FasoBurundiBéninCambodgeCamerounCanadaCap-VertChiliChineChypreCité du VaticanColombieComoresCorée du NordCorée du SudCosta RicaCroatieCubaCuraçaoCôte d’IvoireDanemarkDjiboutiDominiqueEspagneEstonieFidjiFinlandeFranceGabonGambieGhanaGrenadeGroenlandGrèceGuamGuatemalaGuinéeGuinée équatorialeGuinée-BissauGuyaneGéorgieHaïtiHondurasHong KongHongrieIndeIndonésieIrakIranIrlandeIslandeIsraëlItalieJamaïqueJaponJordanieKazakhstanKenyaKirghizistanKiribatiKosovoKoweïtLa BarbadeLaosLesothoLettonieLibanLiberiaLibyeLiechtensteinLituanieLuxembourgMacédoineMadagascarMalaisieMalawiMaldivesMaliMalteMarocMauritanieMexiqueMicronésieMoldavieMonacoMongolieMonténégroMozambiqueMyanmarNamibieNauruNicaraguaNigerNigériaNorvègeNouvelle-ZélandeNépalOmanOugandaOuzbékistanPakistanPalauPanamaPapouasie-Nouvelle-GuinéeParaguayPays-BasPhilippinesPolognePolynésie françaisePorto RicoPortugalPérouQatarRoumanieRoyaume-UniRussieRwandaRépublique DominicaineRépublique centrafricaineRépublique du CongoRépublique démocratique du CongoRépublique tchèqueSaint MartinSaint-Christophe-et-NevisSaint-MarinSaint-Vincent-et-les GrenadinesSainte-LucieSalvadorSamoaSamoa américainesSao Tomé et PrincipeSerbieSeychellesSierra LeoneSingapourSint MaartenSlovaquieSlovénieSomalieSoudanSoudan SudSri LankaSuisseSurinameSuèdeSwazilandSyrieSénégalTadjikistanTanzanieTaïwanTchadThaïlandeTimor orientalTogoTongaTrinité et TobagoTunisieTurkménistanTurquieTuvaluUkraineUruguayVanuatuVenezuelaVietnamYémenZambieZimbabweÉgypteÉmirats arabes unisÉquateurÉrythréeÉtat palestinienÉtats-UnisÉthiopieÎle MauriceÎles CaymanÎles FéroéÎles Mariannes du NordÎles MarshallÎles SalomonÎles Vierges américainesÎles Vierges britanniques Pays Photo of you*Occupation*Nationality*AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabweGender*FemaleMaleDate of birth* Contact PersonYour closest relativeName* Prénom Nom Email of contact person* Mobile number of contact person*Salvation & Church MembershipDescribe briefly when and how you received Jesus*ChurchAre you: Baptized in Water Baptized in the Holy Spirit Save and Continue Later LanguagesLanguages*Which of these languages do you speak? English - Average English - Fluent German - Average German - Fluent Italian - Average Italian - Fluent Spanish - Average Spanish - Fluent French - Average French - Fluent Team/WorkshopsTeam Choice 1*What kind of team do you want to be in? (1st choice) More information about teams/workshops here.Power EvangelismDanceWorshipMedia CrewTechnical CrewTeam Choice 2*What kind of team do you want to be in? (2nd choice) More information about teams/workshops here.Power EvangelismDanceWorshipMedia CrewTechnical crewNone (I really really want my first choice)Link to demo*Media Portfolio*HealthHealthCheck if any of these apply to you I have health problems or disabilities that might affect my ministry I will be taking prescription medication during the trip I have suffered from psychological problems Explain in detail your health condition*Explain in detail your health conditionHave you used/abused any of these the last two years: Nicotine Alcohol Narcotica Explain your use of this/these substancesTravelI will be coming Alone With my youth group/a group Name of groupName of group leader/coordinatorPassport number/National ID card number*Passport country of issue*Passport/ID date of issue* Passport/ID expiration date* DiverseI have been to a Summer Team/Impact before* Yes No T-Shirt Size*XSSMXLXXLHow did you hear about Summer Team/Impact?* A friend A visiting team At a conference The web Brochure/Flyer Other Save and Continue Later NationsDo you have a special connection to one of these nations: Austria France Germany Italy Switzerland Explain your connection to this nation:Motivation LetterRules and RegulationsRead the following document: Rules and Regulations (Opens in New Tab)I have read and understood the attached rules and regulations for the Jesus Revolution Summer Team and agree to abide by them. I am aware that Jesus Revolution has reserved the right to send any team member home (at their own expense) that shows blatant disregard for the stated rules and regulations.I have read and understood the attached rules and regulations for the Jesus Revolution Summer Team and agree to abide by them. I am aware that Jesus Revolution has reserved the right to send any team member home (at their own expense) that shows blatant disregard for the stated rules and regulations. Yes I do hereby release Jesus Revolution, its agents, employees and volunteer assistants from any liability whatsoever arising out of any injury, damage or loss which may be sustained by me or other persons during my/their course of involvement with Jesus Revolution and participating churches for the Jesus Revolution Summer Team.I do hereby release Jesus Revolution, its agents, employees and volunteer assistants from any liability whatsoever arising out of any injury, damage or loss which may be sustained by me or other persons during my/their course of involvement with Jesus Revolution and participating churches for the Jesus Revolution Summer Team. Yes Parents Agreement* I am under 18 and confirm I have my parents full agreement to join the summer team I am 18 or above PriceTravel alone/travel with Jesus Revolution*Jesus Revolution can book your travel for a fee of 3500,- nok.I want to travel aloneI want Jesus Revolution to book my travelTo travel with Jesus Revolution, you must agree to all the following, else your application will not be valid:* I agree that the travel starts from Torp/Gardemoen I agree that the travel to the Alps can be on the 26th or 27th of July I agree that the travel back from the Alps can be on the 12th or 13th of August I agree that I can take max 15kg luggage + hand luggage I agree that the travel fee of 3500,- is non refundable if I were to cancel Norway: Travel with JR costsAirport bus:Do you need the bus from the airport to the summer team location? This covers both for arrival and departure. 20 €/$ each way. On Arrival On Departure Airport bus:Do you need the bus from the airport to the summer team location? This covers both for arrival and departure. Kr 200,- each way. On Arrival On Departure Discounted Early BirdFee Type: Discounted Early BirdStandard Early BirdFee Type: Standard Early BirdPremium Early BirdFee Type: Premium Early BirdNorway Early BirdFee Type: Norway Early BirdUS Early BirdFee Type: US Early BirdProcessing Fee**Stripe.com, the payment processing system we use, takes a fee of 2.9% + 0.5€ per paymentTotal Price to PayPrice without processing feeCurrency - EURCurrency - KrCurrency - $Bus on ArrivalBus on DepartureUnique IDI AGREE THAT MY REGISTRATION IS FINAL AND CANNOT BE REFUNDED*I agree that my registration is final and cannot be refunded after June 1st. Any cancellation until June 1st will be refunded minus a cancellation fee of 40€/$ or 400 Nok. Yes I confirm all the information entered in this form is correct*I confirm all the information entered in this form is correct. I will be there from the 27th of July to the 12th of August. Yes Submit and go to payment Save and Continue Later Cette iframe contient la logique nécessaire pour manipuler Gravity Forms avec Ajax.