Enroll in LIFT

Are you interested in joining a group of young men focused on growing into quality gentlemen? Are you a parent or guardian who sees the inherent value in what the LIFT program can provide for your child? If so, take a few moments to complete our enrollment form.

10 minutes could help LIFT one young man towards his destiny. Enroll now!

 

Please complete the form below

Name of Child *
Name of Child
Birthday *
Birthday
Name of Parent/Guardian 1 *
Name of Parent/Guardian 1
Name of Parent/Guardian 2
Name of Parent/Guardian 2
Address *
Address
Child's Mobile Phone
Child's Mobile Phone
Parent's/Guardian's Mobile Phone *
Parent's/Guardian's Mobile Phone