Have you gotten a Tetanus Shot or TDAP Vaccine? (Recommended to be up to date to attend)

Do you have asthma? Diabetes? Epilepsy?*

Are you currently taking any medications?*

Do you have disabilities?*

Do you have any critical dietary restrictions, known allergies?*

Do you have any heart conditions?*

Do you have phobias or fears?*

Have you had any past injuries or surgeries?*

Do you have any type of emotional condition that might interfere with you being a counselor?*

Do you have any other physical/medical conditions that might interfere?*

In the event of an emergency or need for medical attention, do you or your family participate in a church/brotherhood sharing plan or have other coverage?*