LYLE III Application
Lutheran Youth Leadership Experience with Cross Trails Ministry

APPLICATION DEADLINE MARCH 1, 2018

Personal Information:
Name: *
Your answer
Home Address *
Your answer
City: *
Your answer
State: *
Your answer
Zip Code: *
Your answer
Email:
Your answer
Phone Number *
(xxx) xxx-xxxx
Your answer
Birthdate: *
00/00/0000
Your answer
Age: *
Your answer
Gender *
Grade Completed (2018) *
Which grade will you complete this year?
Home Congregation:
Your answer
Pastor:
Your answer
Church's Phone Number
(xxx) xxx-xxxx
Your answer
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