"*" indicates required fields

Please fill out all fields below and submit your form to be considered for a leadership on Kairos retreats. Completing this form does not guarantee you an opportunity to assume a leadership role. We take all names to prayer and ask that you always keep the retreat in your prayers as well.

Name*
MM slash DD slash YYYY
Which Kairos retreat are you interested in leading?*
We are only accepting applicants for the adult Kairos at this time.
Address*