BAC Application BAC Application Step 1 of 4 25% Personal InformationName* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code 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.YemenZambiaZimbabwe Country Home PhoneCell Phone*Email* Parent or Guardian email*Are you between the age of 15 & 19?*YesNoAre there any major physical or emotional concerns that would hinder this participant from completing 50 + days of activity?*YesNoIf yes please explain How did you hear about the BAC?* My school counselor My youth group leader or pastor I saw a flyer A Peak 7 employee My parents A friend who has done the course Facebook Instagram Other Please explain if you answered 'other' aboveHave you participated in a Peak 7 course before?*YesNoDescribe your current physical activity level* Not very active Somewhat active Active Extremely Active Give a brief description of your physical activity*Reference*NameAddressPhoneRelationshipYears Known Parents or Guardians are not preferredApplication Questions Please describe your personal relationship with Jesus Christ.*You are not required to subscribe to any specific belief system to participate in this programWhat do you hope to gain from participating in the BAC?*Please tell us about any long term goals?Describe a time that you overcame a challenge or obstacle. What was the situation and what was the result?Please describe an achievement that you are proud of:* Outdoor ExperiencePlease explain any outdoor experience you have (Backpacking, Climbing, Mountaineering, Rafting)*Please explain any leadership experience you have* Today's Date Digital Signature*I hereby declare that all statements contained in the application as well and the resume and references attached are true and correct to the best of my knowledge. By typing my full name below I give Peak 7 Adventures authorization to check the references I have provided.