Place: Canyon Hills, San Luis Obispo Campus
 Address: 525 Cerro Romauldo San Luis Obispo, CA 93405
 Dates: May 5-11, 2019

Father Heart "A" School San Luis Obispo

Place: Canyon Hills: San Luis Obispo Campus Address: 525 Cerro Romauldo San Luis Obispo, CA 93405 Dates: May 5-11, 2019 Questions:

Contact Info


Please answer the following questions as honestly and openly as you can. All answers will be treated in the strictest confidence.

General Health

Personal Expenses

All personal expenses are your responsibility: i.e. additional personal transportation, flights, supplies, phone calls, medical fees, spending money and laundry expenses.

Release of Liability

By completing this form I agree to release Fatherheart Ministries, its staff, agents and volunteer assistants from any liability whatsoever arising out of any injury, damage or loss sustained by myself during the course of involvement with Fatherheart Ministries, and I certify that all the information in this application is complete and accurate.Type Name Below and Date.