2018 ELCA Youth Gathering: Houston, TX
First and Last Name of Youth *
Your answer
Participant Cell phone number *
Your answer
Participant email
Your answer
As of Fall 2017 I am currently in grade *
Did you attend the 2015 Gathering in Detroit? *
Gender: *
Racial and/or Ethnic Identity *
Required
Do you have any special needs that would limit your full participation on your service day?
Any additional information for question above:
Your answer
T-shirt Size *
Emergency Contact Name *
Your answer
Relationship *
Your answer
Phone number *
Your answer
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