teen artist Retreat/imagine School application

Our desire for this retreat is to maximize connection, community building and impact to our fullest ability. With that in mind we have very specific space limitations thus we will be reviewing applications on a first come first serve basis leaving registration open until all spaces are filled. Please take time to fill out the following application. Do not feel pressure to answer in any specific way. We welcome and celebrate different views and beliefs and simply want to get a feel for who you are and how we can best serve you on this adventure. So please complete the application and questions to the best of your ability with relatively simple/short answers. Any questions can be sent directly to contact@resurgentsound.com 


1. must be between ages of 15 & 18 to apply 

2. must have parent or guardian present to apply

Teen Name *
Teen Name
Date of Birth
Date of Birth
Parent/Guardian Name
Parent/Guardian Name
Adult Contact Phone *
Adult Contact Phone
please provide link to a song or sample of your music. If you are unable or do not have any current music please put none.com below.
Please provide name and number for a pastoral or spiritual leader who can provide a character reference.
Package Desired *
Please select your desired package and any additional packages for people who may attend with you. You will not be charged for the package until contract is signed.
Payment Preference *
please let us know how you would like to pay. These payment options are an example based on 10 months but all payment plans can be customized to meet your needs.
it can totally be practical and non spiritual if you like... we all know the "christian" answer :)
Besides Music!
Do You Have Any Dietary Restrictions? *
RESTRICTIONS not preferences :)
Name As It Appears On Card
Name As It Appears On Card
Billing Address *
Billing Address
Transaction will appear on your statement as "marked by heaven" our parent ministry.
3 digit code on back
Please Read Disclosure And Check Box To Proceed *
imagine artist weekend retreat and that all applications will be reviewed for selection but no applicant or application is guaranteed acceptance. If your application is accepted you will receive additional information and a full agreement for your package to be completed and returned with the payment terms agreed upon in that contract. You also acknowledge and agree that your credit card listed will be charged a one time non refundable application fee in the amount of $39 USD. In the event that your application is accepted this fee will be applied to your selected package balance. This fee is non refundable regardless of application outcome. This charge will appear on your statement from “marked by heaven”. I acknowledge that I am the parent or guardian of applicant and will be willing to sign all subsequent waivers and assume financial responsibility upon acceptance of minor applicant.