Lutheran Youth Organization application
This form is for both returning LYO members and new applicants. Please fill it out completely and double-check to make sure your information is correct. When you are finished and have clicked "Submit," you will receive an email with a copy of your response. If you do not receive this email, it means your application has not been received by us. For new applicants, we will follow up by email to schedule a Zoom or phone. For returning LYO members, we will follow up with a phone call if needed, and you will receive an email or a phone call after our decisions have been made. Applications must be submitted by Friday, July 5.
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Email *
First name *
Last name *
Nickname (if you have one, or if there's a different name you prefer to be called)
Pronouns
Examples: she/hers; they/theirs; he/they
Grade in the 2024-2025 school year
 *
Congregation name *
Congregation city, state *
Synod *
Home address *
Phone number *
Please enter the best phone number where we can reach you, ideally by text! There will be another space for your parent/guardian to enter their phone number(s).
Alternative phone number
If there's another number where we can reach you (like a home/family phone), enter it here.
Birthdate *
MM
/
DD
/
YYYY
School name
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