L.O.G. #5 Team Registration
This is for people who have already attended a L.O.G. retreat and would like to be on team for #5. Fill it out ASAP!!
L.O.G. #5 will be March 21-23!!
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First Name *
Last Name *
Address *
City *
State *
Zip *
Cell Phone
Home Phone
Your Email *
Parents' Name and Phone # *
Parent's Email
Birthday *
School *
Grade *
Church *
Please list extra-curricular activities
Do you have a job? If so, where & how many hours a week?
Do you have any other commitments that might interfere with your commitment to L.O.G.?
Please list any participants you plan to invite
ok if you don't know yet!
Would you rather do: *
Are you a... *
Required
What is one of your favorite snack foods? *
Do you have any special dietary needs or allergies? *
Would you like to give a talk? *
(It's ok to say no!)
Talk Preferences (1st choice)
(skip if you DON'T want to give a talk)
Talk Preferences (2nd choice)
(skip if you DON'T want to give a talk)
Talk Preferences (3rd choice)
(skip if you DON'T want to give a talk)
Talk Preferences (Any others you are willing)
(skip if you DON'T want to give a talk)
Anything else you want us to know about you or thoughts about L.O.G.?
Timestamp
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