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2024 LYA Adult Registration Form

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I am 18 years old or older. (Required)
Name of adult counselor attending LYA (Attendee)
Address
Gender (Biological Sex at Birth)
Attendee is a member of an ELS Congregation.
Service Project or Missions Sectional (Choose One)
Excursion (Choose One)
Breakout Session #1 (Select One)
Breakout Session #2 (Select One)
Breakout Session #3 (Select One)
Birthdate of Attendee
Attendee has attended LYA in the past.
How is your group getting to LYA?
Attendee T-Shirt Size
Communion Registration- Attendee intends to commune at closing service.
Attendee Agreement: As part of a Christian group sponsored activity, I understand that I will be expected to act responsibly toward the group as well as myself. I agree that I will not use drugs or alcohol during LYA.
Price: $300.00
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