If you prefer to print and mail your application you may do so by clicking the button below.

Click for Printable Application

*Deadline for Registration is 5/19/2017.

First Name
Preferred Name
Last Name
Age
Birth Date
Gender
 Male Female
Address
City
Zip
School
Grade
Home Phone
Student's Cell
Delegate's Email Address
Parent's Email Address
Parent's Cell
In Leo Club?
 Yes No
 
Officer
 Yes No
 
Office
Insurance Provider
Policy #
Allergies/Medical Needs/Special Needs

Please enter the information for the Sponsoring Organization. If you will be sponsoring yourself, please enter your own information below.

Sponsoring Organization
Sponsor Name
Sponsor Phone
Sponsor Email
Travel Plans
Shirt Size
 Small Medium Large XL XXL
I have read this application and fully understand its contents. I agree to actively participate in the Alabama Lions High School Leadership Forum and to follow the rules and regulations of the Forum.
 

All participants must arrive in Troy before the opening session and will not be allowed to depart from the forum before the closing ceremony.