Lift Youth Church

All Fields are Required

First Name:		Last Name:

Age		Grade:		School:

E-mail:
Phone:
Address:

City:		State:		Zip:

Can you pay the $75 by Wednesday, Aug. 20th: Yes No
Are you bringing a friend: Yes No
If yes, who :

	November	Speed the Light Month

	Dec. 12-14	Leadership Retreat

	Dec. 31	Revo All-Nighter

	Jan. 1	40 Days REVOdevo Kicks Off

	Jan. 8-11	Leadership Summit

	Feb. 7	REVO Retreat

	Feb. 11	Battle of Genders

	Feb. 18-20	Youth Revival

	Mar. 11	Revamp Relaunch

	Sundays	City Groups At 6:00 p.m.