FUN

July 5-10, 2009

Student Application Form

As a prospective applicant, you are required to submit the following information, along with a recommendation from your counselor, a recommendation from one of your teachers, and your $50 application fee postmarked by May 31, 2009. Check to be made out to: LEARN to LIVE, INC.

Last Name:
First Name:
E-Mail
For Which Program do you wish to be considered (Select ONE of the two)?
Middle School High School
*Sessions may be combined or separted based on the maturity level of the participants.
In the school year 2007-2008 which Grade did you complete?:
Current School Name:
Parent's Name(or Guardian):
Family's Permanent Address:
City:
State:
Zip:
Telephone:
Please write a narrative statement that describes: something about yourself, your likes/dislikes, your future plans, and your reasons for wanting to participate in this summer program.

10 Years of LTL!

LTL 2007
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2009 Promo Video
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