Dayton XA Leadership Training Registration
First Name *
Your answer
Last Name *
Your answer
Gender *
Phone Number *
Your answer
Emergency Contact Person & Number *
Your answer
University or College *
Current Year in School *
If you situation is unique, answer according to how many years you have left in school
Anticipated Graduation / Last Semester
Please reference semester and year
2019
2020
2021
2022
2023
2024
Fall
Spring
Summer
Are you currently a Core Group Leader OR Resource Group Leader? *
Type your name if you are a current Core Group Leader
Your Core Group Leader OR Resource Group Leader(s)? *
Type your name if you are a current Core Group Leader
Your answer
Have you paid for the Leadership Training Class? *
Preferred LTC Class Night *
Have you registered for SALT? *
Have you received the required reading - Master Plan for Evangelism? *
Do you have any food allergies? *
Are you stoked for LTC? *
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