Contact Information
Young Lasallians
Name *
Your answer
Email Address *
Your answer
Phone Number
Your answer
Are you comfortable with us contacting you through: *
Required
I would like to receive the Young Lasallian monthly newsletter.
I have heard about:
I would like more information about:
Ministry / Worksite
Your answer
How did you get involved in the Lasallian Educational Mission or hear about Young Lasallians? *
Your answer
How do you see yourself continuing to engage as a Young Lasallian moving forward? *
Your answer
Is there anything specific you would like to see from the Young Lasallian Movement?
Your answer
Please share contact information (name, email) of other people you know who may identify themselves as Young Lasallians.
Your answer
Additional Comments
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Christian Brothers of the Midwest. Report Abuse - Terms of Service