- VNTB

Apply To Be A Member

In order to become a member of the Tampa Bay Vida Nueva online community, please complete the form below and submit for approval.

Your Contact Information

First name: ^*

Last name: ^*

Address: ^*

City, State Zip: ^* ,

Phone: (123-456-7890) ^*

Alternate phone: (123-456-7890)

Email: ^*

Emergency Contact

Name: ^*

Phone: (123-456-7890) ^*

Miscellaneous

Date of birth: ^*

Shirt size:

Special medical and/or dietary needs:

Church:

School:

Are you a member of clergy?:

Are you married?:

Gender: Male Female

Other Weekend Experience

Have you served on any 3 day weekends?:

Other experience details:

Please list the Weekend and Location you attended as a candidate. Also, list any weekend experience as a server with all other 3 day communities. Please indicate. Location, 3 day name & weekend # and position. i.e. Tampa Bay, Tres Dias #16, Kitchen Cha.

Vida Nueva Tampa Bay + Holy Spirit

Apply To Be A Member

Your Contact Information

Emergency Contact

Miscellaneous

Other Weekend Experience