Anchor Application Private Link

Participant's Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Participant's Cell Number

Participant's Email

We will be emailing anchor youth throughout the year, please ensure if you have a personal email address you enter it here. ONLY enter parents email here if you do not have a personal email.

Gender*

Female
Male

Birthday*

Grade (2023-24)*

High School (2023-24)*

Home Parish*

Bunnyhug Size*

We will be giving each of you an Anchor sweater this year. Please choose the size you would like!

Name of Parent/Legal Guardian*

First Last

Parent/Legal Guardian's Phone Number*

Parent/Legal Guardian's Email*

Check yes if this will be your first time in anchor, check no if you are returning.*

Yes
No

If you are returning to Anchor, please share what the Anchor experience has been for you personally.

(Please note that your testimony may be used for promotional purposes.)

If you are new to Anchor please answer the following questions*

Have you ever participated in an event put on by Pure Witness Ministries?

Yes
No

If yes, which one(s)?

How did you hear about the Pure Witness Anchor Program?

Why do you want to join the Pure Witness Anchor Program?

What do you hope to gain from the Pure Witness Anchor Program?

Weekly Availability — all participants must check.*

I am available to meet on every other Monday evening throughout the school year.

Upon acceptance you will be asked to pay the full amount for the year with either credit card, cheque, e-transfer, or cash. If you will not be able to pay for the program, please contact us.

We will be emailing you within the next 10 days to confirm your acceptance. We will contact you if further clarification is needed for any part of your application. Please be aware that there are limited spots available, so your acceptance is not guaranteed, however it is very likely.