​​​​​​​

Summer 2019   


June 2-8, June 9-15, June 16-22, June 23-29 ,July 7-13, July 14-20,


July 21-27, July 28- Aug 3   (circle one)                  

Name ______________________________________        Birthdate ____________

Address ____________________________________________________________________                                                                                     
City  _________________________  State  __________________ Zip __________ 
Phone (cell)______________________Email_____________________________________

Employer or School______________________________________________________                                                                                                                                
Church where you attend   ____________________________________________________________________
 Past Ministry Experience   ____________________________________________________________________

                                                                           
Health Concerns or Disablities? (if so, please detail on the back)                                     

Emergency Contact Name and phone    ____________________________________________________________                                                          
Please attach (1) a brief recommendation letter from your pastor, church pastoral staff member or someone else who knows you well (2) $50 deposit to hold your place – applied to your total. (3) We also require applicants to send a background check before you come. Send payment to:  GraceWorks, 4149 Checkmate Dr, Anchorage, AK 99508.  

GraceWorks Alaska is a ​501(c)(3)


tax-exempt organization.


All donations are tax deductible


as allowed by law.

​GraceWorks Alaska​
4149 Checkmate Dr.
Anchorage, AK 99508

​907-440-4974 
gograceworks@aol.com 
 

Copyright GraceWorks Alaska © 2019